go back

Florida 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
$46.57 / $2,324.00 / $10,086.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.56 / $156.96 / $970.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.26 / $73.12 / $117.35
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$129.26 / $570.00 / $4,098.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.14 / $79.14 / $179.54
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$69.51 / $118.71 / $210.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.83 / $89.77 / $162.44
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.00 / $2,674.00 / $6,584.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $80.31 / $98.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.12 / $106.60 / $158.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $5,107.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.87 / $92.21 / $161.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $68.68 / $68.68