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Iowa rates for HCPCS 12053

Repair Intermediate F/E/E/N/L&/Muc 5.1-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.16 / $2,352.00 / $13,043.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.93 / $339.49 / $854.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.26 / $572.39 / $1,045.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.17 / $402.99 / $680.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.83 / $560.66 / $1,314.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $572.98 / $1,600.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.29 / $502.05 / $895.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.22 / $575.28 / $952.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.99 / $379.88 / $659.16
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
$356.93 / $504.09 / $833.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.80 / $452.70 / $755.40