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Iowa rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.55 / $1,011.61 / $1,415.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.20 / $452.40 / $504.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.52 / $944.60 / $1,180.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.00 / $910.00 / $1,048.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $624.52 / $1,196.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $520.00 / $2,041.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $953.47 / $1,155.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.00 / $953.47 / $1,326.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $520.00 / $928.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $312.00 / $1,064.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $520.00 / $520.00