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Iowa rates for HCPCS Q4128

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $30.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $31.17 / $39.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $39.81 / $54.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.70 / $39.77 / $68.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $30.70 / $55.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.36 / $36.84 / $45.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $36.84 / $45.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $38.90
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.70 / $30.70 / $30.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $30.70 / $30.70