go back

Minnesota 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
$50.34 / $91.14 / $2,042.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,554.73 / $2,554.73 / $2,554.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.64 / $84.73 / $140.72
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$120.60 / $380.48 / $403.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $42.61 / $3,730.80
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.02 / $1.50 / $1.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.39 / $175.24 / $320.26
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$142.46 / $262.86 / $465.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.29 / $322.50 / $775.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.75 / $198.58 / $377.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.87 / $294.83 / $610.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.67 / $185.40 / $346.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.66 / $125.43 / $250.85
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,673.62 / $1,673.62 / $1,673.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.88 / $179.06 / $387.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.24 / $169.73 / $342.26