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Alabama rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.30 / $927.00 / $2,639.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,902.69 / $3,102.94 / $6,934.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.01 / $136.18 / $367.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.59 / $1,382.00 / $1,859.23
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,712.40 / $2,072.98 / $2,788.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.11 / $160.61 / $282.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.60 / $120.66 / $377.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $850.00 / $1,349.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.82 / $166.97 / $331.33