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Iowa rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

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
$655.77 / $1,012.66 / $1,156.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.00 / $1,657.15 / $2,071.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.45 / $1,063.92 / $2,110.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.46 / $1,761.38 / $12,206.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.81 / $1,412.62 / $5,410.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $1,617.17 / $2,231.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.42 / $1,617.17 / $2,231.11
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
$744.68 / $1,134.75 / $2,246.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.54 / $1,426.00 / $1,677.60