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Iowa rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,235.59 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.25 / $333.94 / $489.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.41 / $584.33 / $797.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $410.54 / $636.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.25 / $633.64 / $1,530.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.08 / $669.14 / $2,176.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.59 / $546.08 / $781.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.02 / $561.67 / $797.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $606.90 / $770.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,607.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.29 / $669.14 / $929.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.80 / $462.10 / $670.40