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Iowa rates for HCPCS 28122

Prtl Exc B1 Tarsal/Metar B1 Xcp Talus/Calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.14 / $4,964.00 / $7,880.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.25 / $669.32 / $1,356.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.65 / $1,176.10 / $1,708.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.04 / $790.01 / $1,573.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.25 / $1,227.24 / $5,567.24
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$203.00 / $203.00 / $203.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.40 / $1,219.22 / $4,425.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.98 / $1,316.00 / $2,932.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.81 / $1,188.09 / $1,579.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.02 / $796.32 / $3,254.15
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
$601.15 / $916.03 / $1,717.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.60 / $1,012.50 / $1,342.40