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Arizona rates for HCPCS 64495

Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 3+ Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.96 / $2,114.00 / $5,506.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$627.00 / $1,881.00 / $3,960.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $79.45 / $254.64
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$120.60 / $395.44 / $437.12
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$73.13 / $108.80 / $121.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.71 / $461.44 / $730.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.01 / $47.53 / $71.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $90.64 / $153.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.34 / $87.11 / $1,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.50 / $106.68 / $387.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.61 / $91.08 / $177.11