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Iowa rates for HCPCS 67904

Rpr Blepharoptosis Levator Rescj/Advmnt Xtrnl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $4,964.00 / $9,185.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.98 / $895.75 / $3,642.57
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$830.21 / $5,211.51 / $5,463.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.80 / $1,361.09 / $2,123.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.85 / $883.52 / $1,692.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.76 / $1,749.13 / $6,306.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.24 / $1,445.66 / $2,280.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.00 / $1,614.54 / $2,054.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.00 / $1,470.58 / $1,975.63
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
$770.61 / $1,120.88 / $2,073.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.25 / $1,312.80 / $1,626.50