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Iowa rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

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
$776.89 / $1,331.04 / $1,361.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.00 / $1,966.52 / $2,428.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.31 / $1,216.89 / $2,525.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.07 / $2,105.37 / $11,869.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.53 / $1,737.58 / $13,243.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.00 / $2,240.51 / $6,258.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.55 / $1,861.70 / $2,613.33
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
$853.70 / $1,328.77 / $2,474.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.85 / $1,641.60 / $1,931.30