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Iowa rates for HCPCS 21188

Rcnstj Mdfc Oth/Thn Lefort Osteot & 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
$1,477.41 / $2,451.91 / $2,530.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,001.00 / $3,726.95 / $4,503.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.79 / $2,247.35 / $5,840.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.08 / $3,743.32 / $7,454.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.07 / $3,248.01 / $15,441.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.87 / $3,743.32 / $4,876.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.67 / $3,445.38 / $4,876.30
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
$1,642.84 / $2,503.38 / $4,662.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.02 / $3,038.00 / $3,574.20