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Iowa rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.51 / $1,254.93 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $126.49 / $363.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.65 / $241.00 / $385.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.09 / $176.07 / $709.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.90 / $241.00 / $1,970.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $241.00 / $1,227.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.65 / $300.67 / $917.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.65 / $238.14 / $339.88
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,416.88 / $3,416.88 / $3,416.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.44 / $135.44 / $961.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,482.00 / $5,454.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.41 / $184.53 / $351.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $202.32 / $301.20