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Iowa rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,820.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.52 / $1,146.04 / $1,146.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $826.20 / $1,013.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.66 / $640.00 / $1,120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.04 / $1,146.04 / $1,146.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.04 / $1,146.04 / $1,146.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.04 / $1,146.04 / $1,146.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.80 / $776.80 / $776.80