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Colorado rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.50 / $2,333.32 / $9,641.16
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$557.50 / $902.24 / $4,543.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.79 / $172.53 / $403.30
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$86.40 / $258.81 / $835.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.22 / $82.44 / $132.24
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.12 / $92.67 / $307.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.76 / $178.30 / $337.27
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.81 / $166.73 / $359.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.59 / $215.57 / $412.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.53 / $272.43 / $438.39