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New Jersey rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.53 / $2,171.00 / $6,986.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,390.16 / $2,990.25 / $5,874.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.38 / $162.63 / $284.23
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$124.52 / $2,079.00 / $2,376.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.09 / $2,110.73 / $6,790.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.93 / $182.44 / $504.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.83 / $337.96 / $378.12
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.46 / $171.80 / $355.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.30 / $266.01 / $540.51