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Iowa rates for HCPCS 15120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,833.00 / $4,778.89 / $11,929.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.04 / $1,273.58 / $3,842.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.45 / $1,882.34 / $2,402.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.61 / $1,157.88 / $2,261.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.44 / $1,798.47 / $8,909.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.06 / $1,664.25 / $5,106.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.00 / $2,078.26 / $3,908.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.66 / $1,694.15 / $2,274.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.41 / $1,205.07 / $2,266.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.36 / $1,456.40 / $1,777.20