go back

Vermont rates for HCPCS 64495

Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 3+ Level

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.57 / $60.15 / $104.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.05 / $224.53 / $329.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.12 / $112.06 / $201.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.75 / $116.19 / $201.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.82 / $134.77 / $367.76