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Iowa rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.97 / $211.93 / $768.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.11 / $385.74 / $503.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.81 / $234.68 / $383.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.86 / $360.96 / $1,341.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.44 / $322.32 / $1,046.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.44 / $375.18 / $501.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $345.91 / $477.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.81 / $259.22 / $441.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,623.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.19 / $241.74 / $420.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.22 / $296.39 / $369.70