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Iowa rates for HCPCS 33694

Compl Rpr T-Fallot W/O Pulm Atresia Tanulr Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.15 / $2,881.29 / $10,701.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,034.96 / $4,696.08 / $5,135.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.93 / $3,024.89 / $4,030.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,950.00 / $4,579.39 / $7,305.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,193.12 / $4,362.26 / $7,767.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,918.67 / $4,362.26 / $5,670.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,918.67 / $4,187.75 / $5,670.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,101.73 / $4,234.84 / $6,031.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,033.13 / $3,839.40 / $4,516.89