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Iowa rates for HCPCS 12031

Repair Intermediate S/A/T/E 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.62 / $1,413.64 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.41 / $334.64 / $997.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.50 / $434.35 / $758.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $281.05 / $533.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.75 / $399.88 / $1,314.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.61 / $400.71 / $1,127.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.58 / $374.00 / $647.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.42 / $404.74 / $647.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.97 / $271.20 / $473.85
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
$233.20 / $315.31 / $573.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.89 / $318.80 / $545.40