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Iowa rates for HCPCS Q4118

MatriStem micromatrix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.63 / $3.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $4.37 / $9.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $3.31 / $14.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $4.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.09 / $3.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.50 / $6.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.24 / $3.39
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51