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Iowa rates for HCPCS 75774

Angrph Slctv Ea Vsl Studied After Basic Xm Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.62 / $53.68 / $98.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.99 / $100.65 / $179.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.71 / $40.97 / $90.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.02 / $54.53 / $161.07
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.40 / $55.00 / $56.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.69 / $221.07 / $339.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.95 / $96.78 / $127.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.86 / $122.65 / $287.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $156.41 / $784.60
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.57 / $46.33 / $79.75
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.85 / $75.44 / $753.03
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.25 / $205.87 / $205.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.28 / $195.24 / $2,899.89
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.18 / $58.74 / $425.60
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.59 / $101.85 / $2,808.09
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $56.60 / $251.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.72 / $204.23 / $742.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.85 / $67.23 / $137.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.16 / $131.65 / $244.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.00 / $54.04 / $90.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.17 / $70.54 / $149.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $163.90 / $192.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.30 / $77.59 / $91.40
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.09 / $86.20 / $101.40