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Iowa rates for HCPCS 42310

Drg Absc Submaxillary/Sublingual Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $3,795.64 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.43 / $229.05 / $552.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $646.00 / $646.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.46 / $336.06 / $464.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.72 / $232.15 / $394.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.38 / $336.06 / $957.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.45 / $374.09 / $1,278.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.29 / $409.56 / $534.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.59 / $336.06 / $464.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $314.50 / $457.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.00 / $1,607.00 / $1,966.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $266.37 / $541.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.62 / $310.30 / $388.10