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Rhode Island rates for HCPCS 64493

Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $2,187.57 / $3,955.04
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$702.48 / $2,232.71 / $4,591.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.38 / $154.91 / $254.74
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$168.41 / $238.83 / $239.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.71 / $188.19 / $326.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.00 / $221.40 / $355.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $2,445.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.72 / $251.59 / $447.93