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Iowa rates for HCPCS L3255

Nonstandard size or length

Facilitymedian $19 · 10th–90th $19–$780%50%90th$19Professionalmedian $19 · 10th–90th $19–$240%50%90th$19$20.0$50.0$100.0

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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $23.99 / $77.62
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $26.30 / $28.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $33.11 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $67.61 / $77.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $69.18 / $83.18
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $64.57