go back

Iowa rates for HCPCS 15121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,468.00 / $4,917.20 / $8,042.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.05 / $280.79 / $777.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.91 / $371.33 / $1,607.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.02 / $447.59 / $661.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,623.00 / $2,126.00