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Iowa rates for HCPCS E1230

Power operated vehicle (three- or four-wheel nonhighway), specify brand name and model number

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,894.98 / $1,894.98 / $2,299.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.98 / $1,579.08 / $2,616.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.79 / $1,786.79 / $3,476.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.79 / $2,691.04 / $4,579.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.19 / $280.04 / $310.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.38 / $3,672.48 / $14,043.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.77 / $1,576.58 / $4,108.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.89 / $341.89 / $808.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.89 / $409.77 / $808.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.12 / $1,576.58 / $4,317.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.89 / $2,844.17 / $2,844.17