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Iowa rates for HCPCS 21742

Repair Pectus Excavatm/Carinatm Minly W/O Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,012.00 / $6,298.62 / $10,255.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.52 / $1,809.72 / $1,881.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.86 / $2,343.09 / $3,092.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.92 / $1,409.67 / $4,779.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.79 / $2,729.40 / $8,523.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.53 / $1,889.92 / $5,451.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,830.00 / $2,643.35 / $3,199.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.00 / $2,270.63 / $3,246.68
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
$997.39 / $1,450.75 / $2,819.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.44 / $939.80 / $939.80