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Oklahoma 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
$514.04 / $2,444.00 / $6,435.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$562.25 / $851.18 / $1,654.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $75.53 / $87.86
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$142.69 / $142.69 / $142.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.80 / $2,927.28 / $4,626.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.21 / $86.80 / $119.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.24 / $93.79 / $141.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.94 / $84.67 / $1,130.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $105.01 / $2,504.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.05 / $95.48 / $131.50