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Iowa rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,833.00 / $3,666.78 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.03 / $357.12 / $582.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.14 / $617.44 / $1,092.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.60 / $446.04 / $812.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.10 / $586.29 / $1,341.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.55 / $587.28 / $1,630.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.29 / $510.88 / $953.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.80 / $587.28 / $1,005.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.28 / $407.85 / $696.49
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
$379.78 / $529.85 / $920.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.10 / $462.40 / $795.10