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Iowa rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.00 / $3,489.13 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.21 / $270.76 / $579.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.66 / $529.21 / $731.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.40 / $352.26 / $793.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.76 / $499.78 / $1,970.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.29 / $494.09 / $1,554.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.77 / $542.44 / $921.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.84 / $480.40 / $682.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,482.00 / $5,454.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.77 / $368.42 / $749.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.50 / $439.40 / $585.10