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Iowa rates for HCPCS 21275

Secondary Revision Orbitocraniofacial Rcnstj

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
$770.98 / $1,259.24 / $1,329.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.64 / $1,897.11 / $2,371.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.36 / $1,229.94 / $3,229.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.24 / $2,063.13 / $11,869.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.48 / $1,661.67 / $14,641.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.35 / $2,228.61 / $6,488.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.35 / $1,860.26 / $2,506.63
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
$842.36 / $1,283.59 / $2,390.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.83 / $1,640.30 / $1,929.80