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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
$953.61 / $953.61 / $1,331.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.64 / $824.30 / $1,225.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.19 / $969.19 / $1,509.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.54 / $1,591.13 / $1,988.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.83 / $1,543.78 / $1,668.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.16 / $1,763.52 / $7,148.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $773.55 / $1,875.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,505.26 / $1,509.70 / $2,084.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.00 / $1,763.52 / $2,885.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $684.70 / $1,614.87
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.00 / $1,345.00 / $1,345.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.55 / $1,345.00 / $1,345.00