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Iowa rates for HCPCS 65103

Enucleation Eye Implt Musc X Attached Implt

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
$771.86 / $1,077.69 / $2,345.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $2,349.13 / $9,874.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.00 / $2,349.13 / $3,123.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $6,588.00 / $10,320.00