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ArthroFlex

Iowa rates for HCPCS Q4125

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

Rates data updated October 2026.

How much does ArthroFlex cost?

$129

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $209 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$126 to $191
FacilityA hospital or hospital-owned outpatient department$209$129 to $245

How much rates vary

Facilitymedian $209 · 10th to 90th $51 to $269Professionalmedian $129 · 10th to 90th $120 to $191
$100$200facility $209professional $129

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$190.55
Typical High
$190.55
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$275.42
Medica
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$251.19
Medica
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Midlands
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$190.55
Typical High
$302.00
Midlands
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Iowa sits

The same service costs 5.9 times more in North Dakota than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 14th of 51

$129

ND $224NY $38.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.