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Iowa rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

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
$808.96 / $1,103.74 / $4,430.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.80 / $1,943.21 / $2,513.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.10 / $1,197.64 / $2,061.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.57 / $1,918.79 / $8,909.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $1,737.84 / $5,440.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $2,163.27 / $3,908.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.00 / $1,804.38 / $2,371.94
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
$915.93 / $1,248.99 / $2,219.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.57 / $1,558.20 / $1,862.30