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Iowa rates for HCPCS 22103

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $4,964.00 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.15 / $199.29 / $470.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.93 / $320.22 / $1,607.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$60.40 / $60.40 / $60.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.15 / $311.56 / $397.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,640.00 / $2,126.00