go back

Washington 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
$93.11 / $245.44 / $9,703.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$799.05 / $1,332.00 / $4,255.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.09 / $98.50 / $409.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$70.41 / $148.52 / $430.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.34 / $179.34 / $179.34
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$73.19 / $136.81 / $201.71
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $514.84 / $1,700.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$797.24 / $797.24 / $797.24
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.30 / $157.63 / $483.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$133.60 / $153.84 / $294.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$15.90 / $16.41 / $28.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $714.97 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.18 / $130.34 / $253.16
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.23 / $117.81 / $211.92
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$670.80 / $670.80 / $670.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.23 / $119.52 / $215.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.13 / $151.02 / $268.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.83 / $163.47 / $182.91
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.31 / $122.31 / $124.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.14 / $131.69 / $225.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.87 / $421.87 / $531.49
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$632.80 / $632.80 / $797.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $124.74 / $220.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $546.00 / $5,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.32 / $146.75 / $260.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.07 / $75.09 / $100.43