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Iowa rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.62 / $422.00 / $472.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.06 / $610.80 / $763.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.29 / $378.58 / $836.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.30 / $631.23 / $1,914.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.66 / $596.64 / $1,970.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.03 / $574.97 / $802.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.00 / $597.03 / $802.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,640.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.54 / $439.92 / $819.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.53 / $507.00 / $596.50