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Iowa rates for HCPCS 29804

Arthroscopy Temporomandibular Joint Surgical

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
$571.99 / $931.02 / $3,461.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.89 / $1,493.86 / $7,896.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.95 / $1,493.86 / $2,961.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $6,588.00 / $10,320.00