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Massachusetts 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
$88.49 / $1,273.00 / $3,103.52
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$232.50 / $1,234.71 / $1,601.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.64 / $85.05 / $162.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$130.38 / $364.35 / $863.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.24 / $627.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $139.63 / $377.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.62 / $75.33 / $139.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.68 / $137.65 / $325.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $128.26 / $226.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.78 / $182.01 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.52 / $125.41 / $173.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $138.31 / $246.99
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.00 / $600.00 / $821.70
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.74 / $145.87 / $221.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.36 / $192.04 / $2,504.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.56 / $148.84 / $258.37