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Iowa rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.02 / $133.34 / $529.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.47 / $213.47 / $266.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.60 / $141.54 / $267.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.59 / $193.51 / $1,607.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.55 / $195.77 / $650.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $215.83 / $296.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.96 / $211.79 / $275.30
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
$93.60 / $139.44 / $268.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.28 / $172.50 / $203.00