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Iowa rates for HCPCS C1765

Adhesion Barrier

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $6.57 / $6.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.46 / $334.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $217.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $200.00 / $3,564.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.98 / $402.75