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Minnesota 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
$49.64 / $124.18 / $1,313.20
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,214.85 / $2,367.16 / $2,816.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $89.55 / $507.60
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$70.41 / $156.94 / $398.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $41.75 / $3,730.80
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.02 / $1.50 / $1.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.62 / $171.83 / $320.26
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$141.00 / $257.75 / $465.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.29 / $322.50 / $775.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.28 / $197.65 / $374.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.87 / $294.83 / $610.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.22 / $184.46 / $341.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.48 / $143.60 / $822.15
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$471.94 / $993.34 / $2,367.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.88 / $179.06 / $483.00
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$470.67 / $470.67 / $470.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.44 / $187.76 / $350.49