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Iowa rates for HCPCS 0258U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,675.00 / $7,149.36 / $10,000.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,197.25 / $3,197.25 / $3,564.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,413.64 / $6,674.88 / $8,343.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,123.75 / $4,961.25 / $6,651.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,675.00 / $4,742.34 / $9,408.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,205.00 / $2,339.14 / $14,108.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,410.00 / $6,431.25 / $8,600.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.00 / $6,791.40 / $8,600.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,675.00 / $3,675.00 / $6,559.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,205.00 / $2,205.00 / $7,524.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,675.00 / $3,675.00 / $3,675.00