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Iowa rates for HCPCS 15740

Flap Island Pedicle Anatomic Named Axial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.70 / $3,666.78 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.63 / $1,265.65 / $4,190.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.04 / $2,235.78 / $2,906.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.07 / $1,290.79 / $2,168.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.08 / $2,069.76 / $5,023.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.61 / $1,971.84 / $6,245.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.64 / $1,933.82 / $2,566.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.00 / $2,071.96 / $2,696.50
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
$995.23 / $1,382.09 / $2,499.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.83 / $1,780.00 / $2,142.69