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Iowa rates for HCPCS 64494

Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 2nd Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.18 / $1,647.00 / $5,549.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$728.08 / $1,126.50 / $1,924.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $84.52 / $292.79
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$69.34 / $142.94 / $439.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $172.37 / $261.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.21 / $109.98 / $339.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.30 / $139.93 / $291.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.10 / $172.37 / $483.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.63 / $165.90 / $237.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.62 / $165.90 / $244.97
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.77 / $694.77 / $694.77
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
$88.83 / $148.04 / $275.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.50 / $137.93 / $205.40