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Iowa rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

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
$1,992.76 / $3,116.82 / $3,433.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,170.72 / $4,885.88 / $6,015.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,982.02 / $3,193.36 / $7,018.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.26 / $5,246.62 / $7,737.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,327.71 / $4,287.68 / $22,628.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,986.22 / $5,008.03 / $6,550.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,215.86 / $4,710.31 / $6,550.16
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
$2,173.71 / $3,357.57 / $6,210.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,281.19 / $4,153.39 / $4,886.39