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Iowa rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,693.00 / $5,549.00 / $7,943.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.88 / $3,149.87 / $13,125.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,843.00 / $4,892.75 / $6,115.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.15 / $3,174.18 / $11,930.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,088.39 / $5,344.55 / $12,206.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,329.04 / $4,361.66 / $19,652.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,843.00 / $4,852.51 / $6,613.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,268.50 / $4,834.76 / $6,613.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,354.00 / $8,868.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,215.17 / $3,428.07 / $6,309.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,367.85 / $4,263.10 / $5,015.50