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Iowa rates for HCPCS 64772

Transection/Avulsion Oth Spinal Nrv Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,365.79 / $3,666.78 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.42 / $815.99 / $2,071.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.20 / $1,373.80 / $5,321.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$497.27 / $497.27 / $497.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.00 / $1,373.80 / $1,750.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00