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Iowa rates for HCPCS 15877

Suction Assisted Lipectomy Trunk

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
$53.91 / $656.25 / $656.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.06 / $1,400.36 / $1,600.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.96 / $849.69 / $2,758.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.17 / $5,304.92 / $10,320.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.92 / $1,078.89 / $1,400.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.36 / $3,151.30 / $3,929.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.92 / $1,156.08 / $1,400.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,646.50 / $3,350.00 / $3,350.00