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Iowa rates for HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,584.89 / $1,995.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,778.28 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $2,290.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $2,089.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,290.87 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,148.15 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $691.83 / $1,258.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $1,348.96