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Iowa rates for HCPCS 21395

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Bone Grf

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
$905.91 / $1,518.03 / $1,587.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.63 / $2,248.48 / $2,810.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.27 / $1,416.85 / $3,007.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,587.28 / $2,444.41 / $12,206.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.69 / $2,000.17 / $8,440.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,741.00 / $2,213.23 / $3,013.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.00 / $2,213.23 / $2,969.75
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
$1,012.47 / $1,542.82 / $3,138.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.76 / $1,951.60 / $2,296.00