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Rhode Island 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
$702.48 / $1,413.55 / $3,955.04
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,674.68 / $2,870.24 / $2,876.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.48 / $83.87 / $127.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$95.36 / $135.59 / $135.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.18 / $381.52 / $616.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.15 / $94.73 / $185.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $112.93 / $182.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.81 / $126.67 / $196.24