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Iowa rates for HCPCS 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

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
$639.80 / $1,098.08 / $1,293.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.78 / $1,442.89 / $2,119.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.04 / $881.15 / $1,694.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.00 / $1,830.18 / $6,306.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.01 / $1,591.70 / $4,696.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.00 / $1,704.14 / $2,308.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.00 / $1,558.96 / $1,972.02
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
$770.98 / $1,121.42 / $2,280.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.25 / $1,378.80 / $1,622.10