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Iowa rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $7,090.00 / $11,611.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.59 / $1,300.34 / $1,962.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.74 / $2,629.79 / $3,515.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.25 / $1,624.29 / $2,948.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.79 / $2,465.51 / $8,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.16 / $2,443.00 / $11,814.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.82 / $2,629.79 / $6,798.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.74 / $2,388.91 / $3,306.33
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
$1,185.58 / $1,847.50 / $3,440.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.40 / $2,148.69 / $2,755.00