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Iowa rates for HCPCS A6513

Compression burn mask, face and/or neck, plastic or equal, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $870.96
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
$29.51 / $33.88 / $66.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54