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Iowa rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$101.64 / $202.38 / $374.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.08 / $118.55 / $221.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.99 / $70.20 / $336.22
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$201.71 / $207.76 / $213.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.52 / $236.60 / $277.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$143.75 / $166.59 / $202.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.52 / $160.97 / $545.64
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.68 / $116.74 / $181.57
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$207.76 / $305.79 / $305.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.35 / $203.52 / $1,748.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.61 / $109.55 / $496.08
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$207.76 / $213.81 / $376.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.90 / $203.52 / $422.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.40 / $193.30 / $503.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.86 / $128.13 / $226.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.15 / $86.99 / $161.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.60 / $169.60 / $199.50
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.80 / $119.80 / $140.90