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Iowa rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece 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
$1,317.22 / $2,205.00 / $2,256.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.21 / $3,221.58 / $4,026.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.19 / $1,994.04 / $8,535.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,154.21 / $3,488.67 / $12,206.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.76 / $2,851.49 / $13,577.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.00 / $3,093.50 / $4,337.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.00 / $3,083.67 / $4,337.13
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
$1,419.92 / $2,391.73 / $4,114.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,148.09 / $2,719.10 / $3,198.90