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Iowa rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

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
$921.51 / $1,594.34 / $2,669.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.63 / $2,633.37 / $11,051.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.86 / $2,250.71 / $2,962.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00