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Iowa rates for HCPCS 53515

Urtorr Sutr Urethral Wnd/Inj Prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,235.59 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.87 / $1,161.73 / $1,161.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.15 / $1,968.06 / $2,231.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.85 / $1,258.79 / $2,164.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.52 / $2,106.54 / $12,371.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.09 / $1,867.08 / $9,010.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.00 / $2,426.69 / $4,818.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.00 / $1,740.15 / $2,426.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,371.10 / $1,974.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,700.00 / $7,799.00 / $10,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.82 / $1,637.47 / $2,565.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.40 / $1,534.40 / $1,805.20