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Iowa rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,468.00 / $4,917.20 / $8,042.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.66 / $1,663.66 / $5,991.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.33 / $2,246.15 / $2,807.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.94 / $1,387.61 / $2,323.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.70 / $2,441.07 / $13,238.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.56 / $1,653.77 / $3,215.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.00 / $3,079.48 / $5,797.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.00 / $1,903.79 / $2,888.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,523.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.25 / $1,432.31 / $2,774.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.18 / $1,945.80 / $2,289.19