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Florida 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
$35.82 / $1,476.23 / $8,159.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.55 / $1,136.61 / $2,302.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.99 / $72.81 / $137.40
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.79 / $150.36 / $841.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.37 / $80.30 / $112.96
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$69.56 / $120.46 / $194.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.17 / $89.56 / $162.44
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.00 / $2,674.00 / $6,584.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.01 / $79.56 / $97.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.82 / $106.60 / $158.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $5,107.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.53 / $93.20 / $164.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.81 / $69.45 / $69.45