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Massachusetts 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
$92.86 / $988.00 / $2,747.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$299.52 / $1,281.56 / $1,924.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $88.82 / $218.91
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.87 / $262.77 / $708.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.18 / $740.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.09 / $138.74 / $483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.98 / $74.50 / $140.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $108.94 / $242.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.98 / $126.39 / $226.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.07 / $79.29 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.50 / $126.63 / $174.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.82 / $137.41 / $246.77
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.54 / $865.54 / $2,064.48
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.12 / $155.78 / $233.67
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.76 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.21 / $192.04 / $1,800.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.01 / $169.22 / $258.12