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Iowa rates for HCPCS 43762

Perq Replacement Gtube Not Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.17 / $197.98 / $396.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.36 / $264.55 / $643.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.38 / $288.39 / $900.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.19 / $268.91 / $800.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$135.65 / $135.65 / $135.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.56 / $478.17 / $1,151.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.08 / $249.99 / $599.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.52 / $410.60 / $647.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $294.89 / $643.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.00 / $1,607.00 / $3,560.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.72 / $339.63 / $688.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.90 / $87.90 / $496.00