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Iowa rates for HCPCS 64495

Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 3+ Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$279.25 / $1,320.73 / $1,320.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.64 / $85.05 / $188.31
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$73.01 / $144.74 / $437.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $151.22 / $260.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.47 / $108.45 / $516.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.35 / $141.68 / $294.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.29 / $173.02 / $387.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.35 / $167.99 / $237.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.06 / $167.99 / $244.97
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.47 / $477.47 / $477.47
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 / $135.36 / $265.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.20 / $136.35 / $203.10