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Iowa rates for HCPCS 49013

Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.87 / $686.81 / $1,787.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.88 / $1,005.15 / $6,608.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.35 / $1,005.15 / $1,415.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00