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Iowa rates for HCPCS 64620

Dstrj Neurolytic Agent Intercostal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.00 / $2,912.34 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.84 / $253.39 / $579.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.47 / $463.61 / $604.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $302.18 / $772.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.39 / $463.61 / $1,970.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.90 / $463.61 / $1,600.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.55 / $542.27 / $917.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.47 / $463.61 / $604.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.00 / $3,522.00 / $4,938.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.91 / $333.45 / $599.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.95 / $406.20 / $480.90