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Iowa rates for HCPCS 54415

Rmvl Non-Nfltbl/Nfltbl Penile Prosth W/O Rplcmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,468.00 / $4,917.20 / $8,042.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.73 / $807.61 / $1,530.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.69 / $1,412.36 / $9,388.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.00 / $1,619.59 / $3,170.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00