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Idaho 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
$152.69 / $263.83 / $7,045.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$764.40 / $764.40 / $1,037.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.64 / $86.17 / $221.71
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$70.55 / $125.27 / $437.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.83 / $102.00 / $156.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.21 / $124.88 / $232.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.66 / $123.73 / $174.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $125.29 / $157.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.71 / $122.94 / $186.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.76 / $131.76 / $179.64