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Iowa rates for HCPCS D0170

Re-Evaluation - Limited, Problem Focused (Established Patient; Not Post-Operative Visit)

Facilitymedian $21 · 10th–90th $15–$480%20%10th90th$21Professionalmedian $20 · 10th–90th $16–$470%20%10th90th$20$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $28.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $74.13 / $77.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $21.38 / $47.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $194.98 / $194.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $58.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $41.69 / $58.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $33.11
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98