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Iowa rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,778.89 / $7,119.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $953.00 / $953.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.01 / $353.46 / $557.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.87 / $415.91 / $1,026.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.00 / $476.71 / $790.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.00 / $1,607.00 / $1,966.00