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North Dakota 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
$52.10 / $89.63 / $712.60
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
$46.93 / $78.20 / $147.75
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.42 / $250.00 / $380.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.95 / $141.80 / $226.30
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$149.93 / $203.52 / $339.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.69 / $135.68 / $283.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.10 / $89.63 / $156.65
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$918.75 / $1,172.08 / $1,496.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.72 / $164.43 / $483.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.72 / $161.69 / $234.19