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Iowa rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

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
$1,530.03 / $1,755.45 / $2,729.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,035.50 / $3,878.36 / $4,847.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.32 / $2,393.76 / $8,180.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,078.81 / $3,880.33 / $7,454.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.19 / $3,356.05 / $14,973.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,988.00 / $3,588.14 / $5,243.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,354.02 / $3,588.14 / $4,960.68
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
$1,747.00 / $2,662.10 / $4,958.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,591.19 / $3,280.00 / $3,858.80