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Iowa rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.24 / $1,876.73 / $2,549.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,438.35 / $3,354.03 / $4,256.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.77 / $2,103.62 / $3,435.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.69 / $3,186.49 / $10,902.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,573.44 / $3,194.64 / $3,982.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.85 / $2,349.48 / $4,558.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,266.19 / $2,692.30 / $3,374.90