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Iowa rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.85 / $73.73 / $81.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $135.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.47 / $59.70 / $61.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $61.35 / $65.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.84 / $52.75 / $95.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.85 / $61.35 / $85.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.85 / $48.85 / $97.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.19 / $61.35 / $72.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $61.35 / $72.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.60 / $45.20 / $98.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $56.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.85 / $48.85 / $48.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.59 / $48.85 / $48.85