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Iowa rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.34 / $89.55 / $106.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $1,385.73 / $2,192.94
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
$89.55 / $138.74 / $2,192.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $4,904.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.77 / $1,385.73 / $2,192.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.77 / $1,385.73 / $2,192.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $1,582.53