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Iowa rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

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
$675.96 / $981.62 / $1,585.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.16 / $1,805.95 / $2,099.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.48 / $1,059.18 / $1,941.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.89 / $1,675.35 / $5,023.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.30 / $1,564.84 / $4,828.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $1,702.57 / $2,099.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.00 / $1,602.83 / $2,118.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $5,023.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.02 / $1,134.11 / $2,127.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.66 / $1,369.20 / $1,649.60