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Iowa rates for HCPCS Q4114

Integra Flowable Wound Matrix Injectable 1 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.86 / $2,830.80 / $2,830.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $2,830.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.81 / $1,784.81 / $1,917.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.72 / $1,859.24 / $2,080.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.53 / $1,494.41 / $2,704.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.24 / $2,080.79 / $2,961.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.24 / $1,542.24 / $3,084.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $1,824.69 / $2,400.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.72 / $1,850.69 / $2,080.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.60 / $2,109.40 / $2,325.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,643.85
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.24 / $1,542.24 / $1,542.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.36 / $1,542.24 / $1,542.24