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Idaho 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
$150.80 / $501.60 / $1,138.94
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$178.80 / $991.80 / $2,577.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $89.63 / $264.77
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.81 / $127.11 / $439.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $101.20 / $156.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.57 / $123.01 / $235.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.13 / $145.16 / $175.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $126.20 / $158.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.87 / $121.40 / $186.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.04 / $131.56 / $180.77