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Iowa rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Facilitymedian $17 · 10th–90th $13–$380%20%10th90th$17Professionalmedian $13 · 10th–90th $9–$200%10%10th90th$13$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $39.81 / $50.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $46.77 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $21.88 / $43.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.80 / $40.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $26.92 / $38.02
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $33.11 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.55 / $16.60
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95