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Iowa rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.38 / $150.94 / $238.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.79 / $301.75 / $464.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.26 / $212.99 / $326.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.63 / $279.07 / $1,204.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.04 / $301.75 / $1,206.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.53 / $218.98 / $368.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.79 / $217.06 / $418.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $213.30 / $440.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,607.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.02 / $272.31 / $430.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.30 / $161.60 / $362.40