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Iowa rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.32 / $686.41 / $2,166.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.15 / $1,382.12 / $1,727.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.28 / $760.68 / $1,967.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.68 / $1,624.48 / $6,945.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.46 / $1,133.01 / $1,971.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.41 / $1,604.52 / $2,428.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.00 / $1,193.82 / $1,760.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.30 / $900.82 / $1,658.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.49 / $1,233.30 / $1,326.20