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Iowa rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.35 / $225.23 / $691.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.64 / $408.99 / $598.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.59 / $266.50 / $388.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $374.11 / $2,142.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.66 / $458.55 / $1,503.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.11 / $314.54 / $549.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.27 / $358.42 / $549.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $417.80 / $553.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,522.00 / $5,454.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.76 / $406.09 / $641.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.20 / $275.60 / $462.10