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Iowa rates for HCPCS 64615

Chemodervate Facial/Trigem/Cerv Musc Migraine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.25 / $1,576.43 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.95 / $167.42 / $503.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.64 / $321.38 / $410.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.34 / $204.63 / $432.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.36 / $289.22 / $758.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.74 / $289.22 / $873.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.70 / $270.02 / $405.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.05 / $323.32 / $411.65
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
$144.38 / $220.02 / $412.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.21 / $280.10 / $347.30