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Iowa rates for HCPCS L3255

Nonstandard size or length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $23.99 / $77.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $26.30 / $28.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $33.11 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $67.61 / $77.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $64.57 / $64.57