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Iowa rates for HCPCS 64628

Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,693.00 / $5,549.00 / $7,943.37
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.19 / $594.55 / $2,920.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.47 / $1,023.32 / $23,817.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.65 / $1,316.74 / $19,048.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,234.00 / $9,673.00 / $14,242.22