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Alabama rates for HCPCS 64494

Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 2nd Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.14 / $686.00 / $2,250.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$190.45 / $2,065.00 / $4,039.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.99 / $79.12 / $137.40
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$68.55 / $68.55 / $100.37
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.61 / $119.61 / $119.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.59 / $1,382.00 / $1,859.23
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,712.40 / $2,072.98 / $2,788.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.70 / $100.00 / $127.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.62 / $100.69 / $180.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $850.00 / $1,349.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $84.59 / $174.56