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Iowa rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $4,964.00 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.44 / $1,381.30 / $1,439.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.19 / $2,058.38 / $2,572.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.45 / $1,284.26 / $9,637.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.92 / $2,231.88 / $11,869.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.69 / $1,822.91 / $8,385.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $2,316.23 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.94 / $2,020.37 / $2,737.69
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
$917.02 / $1,397.36 / $2,602.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.39 / $1,781.50 / $2,095.90