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Illinois 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
$87.11 / $902.40 / $3,221.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$221.00 / $931.42 / $2,288.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.57 / $80.40 / $151.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$70.55 / $125.27 / $437.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.49 / $640.64 / $1,282.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.08 / $96.71 / $159.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.68 / $97.00 / $162.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $137.63 / $556.09
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.27 / $63.96 / $118.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $133.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.09 / $126.29 / $202.29