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Iowa rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $72.44 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $309.03 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $281.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $151.36 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $346.74 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $147.91 / $446.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $190.55 / $457.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,258.93 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $208.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $190.55