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Iowa rates for HCPCS 57120

Colpocleisis (Le Fort type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,393.00 / $5,549.00 / $10,506.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.64 / $803.65 / $1,330.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.25 / $1,401.17 / $11,072.12
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,196.53 / $1,196.53 / $1,196.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $1,541.80 / $4,164.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00