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Iowa rates for HCPCS 36904

Perq Thrmbc/Nfs Dialysis Circuit Img Dx Angrph

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,393.00 / $5,549.00 / $10,506.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.75 / $1,684.72 / $2,799.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.22 / $3,750.35 / $5,047.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.10 / $2,257.67 / $3,337.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.11 / $4,310.97 / $14,194.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.56 / $4,075.18 / $6,645.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.73 / $4,259.35 / $6,281.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.11 / $3,239.75 / $5,213.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,346.00 / $14,242.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,979.68 / $4,043.83 / $5,858.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $844.70 / $4,045.10