go back

Vermont rates for HCPCS 64493

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $145.19 / $201.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.24 / $1,642.07 / $2,576.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.12 / $352.59 / $643.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.48 / $203.77 / $394.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.15 / $224.95 / $394.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.67 / $349.77 / $617.02