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Iowa rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.00 / $2,912.34 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $144.33 / $309.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.79 / $270.17 / $408.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.51 / $176.71 / $330.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.63 / $227.82 / $734.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.11 / $250.54 / $876.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.63 / $227.82 / $335.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.87 / $252.94 / $350.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.73 / $185.44 / $277.95
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
$124.09 / $189.09 / $384.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $242.40 / $331.40