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Iowa rates for HCPCS 64605

Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,290.87 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $630.96 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,148.15 / $2,570.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $977.24 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,230.27 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,148.15 / $3,630.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $2,089.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,071.52 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,370.32 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $707.95 / $1,584.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,288.25 / $2,041.74