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Massachusetts rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.56 / $1,686.75 / $3,363.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$209.29 / $2,112.00 / $4,539.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.03 / $172.54 / $442.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$95.15 / $306.74 / $1,613.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.66 / $627.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.34 / $293.77 / $871.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.08 / $86.20 / $171.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $120.01 / $643.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.64 / $203.15 / $595.24
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.69 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.60 / $332.58 / $464.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.55 / $243.71 / $635.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.50 / $1,557.98 / $2,039.76
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.97 / $187.00 / $510.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.91 / $392.12 / $1,679.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.10 / $331.64 / $700.31