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Iowa rates for HCPCS A2013

Innovamatrix Fs, Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.00 / $1,296.00 / $1,377.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.31 / $1,377.00 / $2,916.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.00 / $1,620.00 / $2,916.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $2,916.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.79 / $1,842.78 / $2,916.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.31 / $1,842.78 / $2,916.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,756.35
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.50 / $1,350.00 / $1,350.00