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Iowa rates for HCPCS 64492

Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 3+ Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.76 / $3,259.25 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.59 / $94.18 / $164.31
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$130.26 / $135.38 / $291.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $184.51 / $280.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $118.64 / $542.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.86 / $160.66 / $323.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.42 / $188.84 / $575.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.28 / $184.51 / $256.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $183.54 / $264.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,640.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.25 / $151.30 / $298.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $148.05 / $220.50