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Iowa rates for HCPCS 20696

Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $4,964.00 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.01 / $1,628.39 / $3,364.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.74 / $2,843.83 / $28,675.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,142.67 / $3,034.70 / $25,996.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $6,588.00 / $10,320.00