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Iowa rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,468.00 / $4,964.00 / $8,042.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.79 / $1,103.97 / $4,198.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.29 / $1,914.84 / $2,505.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.61 / $1,182.57 / $2,152.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.18 / $1,802.59 / $5,023.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.68 / $1,688.64 / $5,266.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,464.52 / $1,747.26 / $2,305.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.99 / $1,747.26 / $2,327.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.43 / $1,253.05 / $2,021.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $5,023.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.00 / $1,225.84 / $2,409.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.32 / $1,498.20 / $1,835.10