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Iowa rates for HCPCS 21440

Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $4,964.00 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.85 / $716.44 / $1,093.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.26 / $1,407.83 / $2,205.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.88 / $880.02 / $1,469.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.26 / $1,218.31 / $5,327.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.54 / $1,220.24 / $4,505.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.26 / $1,214.44 / $1,740.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.00 / $1,292.97 / $1,816.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.35 / $947.76 / $1,785.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.13 / $1,356.70 / $1,693.50