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Iowa rates for HCPCS 15274

App Skn Sub Grft T/A/L Area>=100scm Adl 100sqcm

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
$42.09 / $75.16 / $487.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.91 / $117.84 / $196.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.53 / $95.51 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.76 / $123.21 / $1,607.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.95 / $124.58 / $2,932.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.29 / $141.72 / $213.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.37 / $134.32 / $222.19
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
$81.26 / $110.81 / $204.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $91.40 / $166.00