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Iowa rates for HCPCS C1789

Prothesis, breast (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.32 / $898.24 / $6,683.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.32 / $402.32 / $1,261.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $2,500.00 / $2,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.32 / $426.46 / $1,874.50