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Iowa rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.54 / $603.00 / $6,066.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.15 / $217.32 / $596.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.64 / $283.39 / $484.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.45 / $208.82 / $322.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.76 / $281.39 / $1,314.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.98 / $293.35 / $735.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.71 / $244.05 / $422.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.88 / $300.57 / $434.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.50 / $172.43 / $301.36
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
$156.61 / $227.28 / $445.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.70 / $207.90 / $348.80