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Maryland 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
$0.98 / $61.02 / $276.97
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.99 / $1.00 / $1,087.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.25 / $86.17 / $242.16
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$120.60 / $166.72 / $403.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.29 / $56.39 / $134.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.72 / $92.36 / $182.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.52 / $119.35 / $179.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.05 / $112.87 / $194.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.70 / $106.40 / $132.24