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Iowa rates for HCPCS Q4123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.55 / $108.00 / $108.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $72.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $47.91 / $85.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.82 / $71.55 / $129.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.59 / $85.86 / $110.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.40 / $71.55 / $129.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.43 / $57.98 / $85.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $44.50 / $85.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $24.70 / $27.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $88.29
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.55 / $71.55 / $71.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.52 / $71.55 / $71.55