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Iowa rates for HCPCS 35122

Dir Rpr Ruptd Aneursm Hepatic/Celiac/Renal/Mesen

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
$1,615.71 / $2,769.45 / $10,028.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,827.72 / $4,701.10 / $4,946.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.32 / $2,907.64 / $5,522.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,950.00 / $4,663.00 / $7,305.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.16 / $4,272.39 / $7,510.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,240.00 / $4,198.20 / $5,426.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,240.00 / $4,198.20 / $5,426.58
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
$2,032.13 / $3,640.16 / $5,849.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,922.37 / $3,699.20 / $4,352.00