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Iowa rates for HCPCS 40720

Plstc Rpr Cl Lip/Nsl Dfrm Sec Recrtj Dfct & Recl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,964.00 / $6,960.00 / $11,611.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.96 / $1,708.50 / $1,708.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.46 / $2,303.02 / $2,878.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.93 / $1,500.02 / $2,603.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.26 / $2,571.84 / $9,875.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.79 / $1,914.33 / $3,608.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.00 / $2,294.00 / $3,079.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.00 / $2,094.28 / $3,079.12
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
$1,076.52 / $1,471.04 / $2,805.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.68 / $1,995.80 / $2,348.10