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Iowa rates for HCPCS 21025

Excision Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,731.57 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.23 / $1,056.39 / $1,982.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.43 / $1,847.07 / $2,323.67
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.50 / $1,141.56 / $1,943.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.39 / $1,835.23 / $8,572.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.50 / $1,763.58 / $5,937.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,475.98 / $1,974.97 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.79 / $1,767.08 / $2,140.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.52 / $1,313.37 / $2,575.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.98 / $1,531.10 / $1,833.10