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Iowa rates for HCPCS C5271

Application Of Low Cost Skin Substitute Graft To Trunk Arms Legs Total Wound Surface Area Up To 100 Sq Cm; First 25 Sq Cm Or Less Wound Surface Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,235.59 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $29.50 / $29.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.20 / $13.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $500.00 / $500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $1,050.32 / $1,966.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.44 / $541.67 / $684.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,623.00 / $2,126.00