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Iowa rates for HCPCS A2016

PermeaDerm B, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $245.47 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $181.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $257.04 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $134.90