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Washington, DC 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
$122.37 / $1,380.50 / $3,175.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$91.70 / $1,162.88 / $1,512.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $84.51 / $227.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$16.60 / $316.05 / $632.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $55.90 / $1,021.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.18 / $109.52 / $240.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.49 / $210.89 / $210.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.83 / $183.71 / $249.62