go back

Florida rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.64 / $2,171.25 / $8,471.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.55 / $1,227.07 / $2,453.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.01 / $143.08 / $278.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$88.04 / $259.49 / $1,688.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.76 / $201.94 / $264.91
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$80.65 / $254.67 / $314.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.70 / $144.77 / $337.89
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.00 / $2,689.00 / $6,584.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.51 / $176.87 / $242.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.37 / $246.99 / $370.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $5,107.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.16 / $190.23 / $325.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $161.37 / $161.37