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Iowa rates for HCPCS 78803

Rp Loclzj Tum Spect 1 Area/Acquisj 1 Day Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.18 / $85.38 / $255.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.76 / $393.21 / $1,800.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.94 / $48.13 / $234.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$261.82 / $261.82 / $2,360.71
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.94 / $159.60 / $164.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.58 / $798.97 / $998.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.31 / $113.25 / $141.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$616.26 / $685.72 / $857.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.08 / $488.01 / $1,844.84
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.37 / $76.20 / $243.48
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.71 / $391.88 / $1,551.10
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$159.60 / $159.60 / $159.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.55 / $525.73 / $1,236.43
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.56 / $59.64 / $211.47
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$261.75 / $361.50 / $1,326.53
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$159.60 / $164.25 / $278.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.00 / $721.58 / $1,036.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.89 / $402.50 / $813.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.56 / $59.30 / $99.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$285.17 / $359.09 / $606.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.33 / $578.90 / $681.10
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.76 / $84.50 / $99.40
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$390.58 / $494.40 / $581.70