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Iowa rates for HCPCS 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,964.00 / $6,066.00 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.72 / $2,857.24 / $10,934.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.42 / $4,501.64 / $5,641.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.21 / $3,112.82 / $6,603.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,352.31 / $3,865.47 / $5,970.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,212.00 / $4,573.85 / $15,268.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,157.79 / $4,647.71 / $6,207.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,476.50 / $4,647.71 / $5,683.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $3,720.20 / $5,314.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.00 / $5,847.00 / $7,856.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.92 / $3,306.50 / $5,999.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,237.58 / $4,098.20 / $4,821.39