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Iowa rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $4.17 / $5.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.58 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.42 / $1.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.28 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.62 / $0.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.68 / $0.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60