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Iowa rates for HCPCS 13102

Repair Complex Trunk Each Additional 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.56 / $2,352.00 / $6,298.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.04 / $146.59 / $806.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.43 / $196.72 / $329.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $141.61 / $213.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.14 / $181.07 / $1,607.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.63 / $192.15 / $525.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.75 / $218.15 / $346.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.11 / $192.15 / $320.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $122.77 / $215.31
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
$120.01 / $169.95 / $335.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.90 / $149.30 / $242.00