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Maine 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
$1.44 / $811.43 / $1,301.82
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.90 / $528.85 / $656.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $78.23 / $120.29
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,122.27 / $1,122.27 / $1,870.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $66.92 / $99.61
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.32 / $100.38 / $149.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.58 / $110.18 / $184.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.65 / $112.12 / $180.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $752.93 / $1,301.82
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.90 / $528.85 / $656.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.72 / $81.98 / $130.05
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,122.27 / $1,122.27 / $1,870.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $120.32 / $184.38