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Mississippi rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.18 / $950.00 / $2,825.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$712.50 / $1,639.37 / $1,902.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.79 / $165.07 / $480.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.14 / $495.00 / $825.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.60 / $109.60 / $109.60
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$104.94 / $104.94 / $104.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.00 / $219.00 / $219.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.06 / $155.88 / $339.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $513.00 / $1,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.91 / $246.06 / $429.44