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Iowa rates for HCPCS A4616

Tubing (Oxygen) Per Foot (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.38 / $0.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.11 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.10 / $0.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.10
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.08