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Iowa rates for HCPCS L8612

Aqueous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.39 / $800.30 / $800.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.17 / $465.40 / $710.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $802.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.71 / $1,107.75 / $1,384.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.81 / $955.47 / $2,105.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.40 / $937.75 / $3,676.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.84 / $485.45 / $997.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.42 / $802.77 / $1,108.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.19 / $948.73 / $1,534.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.84 / $410.92 / $858.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.19 / $715.19 / $715.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.00 / $715.19 / $715.19