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Iowa rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $34.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.58 / $40.70 / $43.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.14 / $35.10 / $61.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $40.81 / $66.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $61.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.18 / $40.70 / $45.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.13 / $40.70 / $45.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $37.31
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $33.92 / $33.92