go back

Iowa rates for HCPCS 15200

Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,468.00 / $4,917.20 / $8,042.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.27 / $1,004.88 / $1,258.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.68 / $1,843.52 / $2,394.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.38 / $1,113.02 / $1,901.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.32 / $1,699.19 / $5,497.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.41 / $1,623.73 / $4,970.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.00 / $1,713.11 / $2,255.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.00 / $1,648.25 / $2,255.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,732.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.63 / $1,112.21 / $2,090.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.42 / $1,421.50 / $1,766.80