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Iowa rates for HCPCS 57295

Revj/Rmvl Prosthetic Vaginal Graft Vaginal App

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,421.00 / $4,604.83 / $8,042.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.01 / $785.23 / $1,355.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.43 / $1,302.34 / $8,165.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.00 / $1,454.56 / $3,093.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,732.00 / $8,342.00