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Iowa rates for HCPCS 21750

Close Median Sternotomy Sep W/Wo Debridement Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $5,091.00 / $7,120.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.35 / $1,007.94 / $2,672.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.70 / $1,602.68 / $8,604.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$307.30 / $307.30 / $307.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.60 / $1,525.18 / $1,994.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22