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Iowa rates for HCPCS 15115

Epidermal Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,235.59 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.60 / $1,038.33 / $4,014.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.34 / $1,783.10 / $2,239.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.44 / $1,142.89 / $2,085.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.26 / $1,754.78 / $5,023.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.00 / $1,586.82 / $5,163.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.00 / $1,713.87 / $2,154.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.48 / $1,713.87 / $2,171.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,679.00 / $5,023.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.03 / $1,138.76 / $2,211.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.48 / $1,452.50 / $1,708.90