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Iowa rates for HCPCS 35903

Excision Infected Graft Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.54 / $914.56 / $1,738.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.29 / $1,579.64 / $9,495.24
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$757.42 / $757.42 / $757.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.45 / $1,262.79 / $1,651.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00