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Iowa rates for HCPCS 57426

Revision Prosthetic Vaginal Graft Laparoscopic

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
$805.29 / $1,215.03 / $2,872.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.58 / $2,284.67 / $16,586.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.00 / $2,553.92 / $6,156.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00