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Iowa rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.45 / $3,615.87 / $5,023.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.77 / $4,548.97 / $6,907.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.34 / $783.88 / $4,296.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.28 / $5,626.86 / $8,656.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.54 / $5,009.85 / $13,313.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,176.17 / $4,986.49 / $8,302.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.10 / $6,460.48 / $8,571.43
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
$2,679.82 / $4,427.43 / $8,795.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.01 / $1,015.20 / $1,194.40