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Iowa rates for HCPCS 75872

Venography Epidural Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.44 / $711.44 / $711.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.24 / $121.66 / $288.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.95 / $872.36 / $897.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.73 / $299.42 / $699.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.55 / $209.20 / $855.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.86 / $482.08 / $1,539.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.00 / $273.26 / $3,555.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.21 / $298.91 / $872.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.21 / $303.85 / $803.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.50 / $169.50 / $779.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.72 / $172.84 / $325.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.17 / $219.20 / $257.89