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Iowa rates for HCPCS 21142

Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $5,091.00 / $7,120.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.58 / $1,442.93 / $2,190.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.21 / $3,126.53 / $3,908.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.30 / $1,934.32 / $7,031.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,057.44 / $3,384.45 / $12,206.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.16 / $2,738.23 / $13,111.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,433.00 / $2,991.96 / $4,203.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.81 / $2,991.96 / $4,203.22
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
$1,395.70 / $2,126.78 / $3,961.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.17 / $2,638.20 / $3,103.80