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Iowa rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $123.00 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $88.31 / $139.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $86.03 / $200.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.31 / $153.75 / $202.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.75 / $128.13 / $256.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.73 / $88.31 / $139.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $88.31 / $139.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $138.38
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $5.94 / $5.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $5.94 / $5.94