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Iowa rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.74 / $1,212.93 / $2,040.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.08 / $1,722.23 / $4,110.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.65 / $1,706.70 / $2,304.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99