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Iowa rates for HCPCS Q4108

Integra matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.14 / $74.79 / $74.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $74.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.03 / $38.03 / $40.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $58.29 / $65.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.76 / $38.54 / $69.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.08 / $60.57 / $78.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.12 / $49.12 / $98.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $58.94 / $67.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $58.29 / $67.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.60 / $44.40 / $48.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $42.39
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.12 / $49.12 / $49.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.79 / $49.12 / $49.12