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Washington, DC 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
$124.17 / $1,556.00 / $3,175.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$146.38 / $1,087.66 / $1,341.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.64 / $85.93 / $131.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.29 / $57.09 / $1,021.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.56 / $110.29 / $239.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.91 / $210.89 / $210.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $118.17 / $249.62