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Iowa rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.13 / $57.13 / $57.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $47.42 / $57.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.75 / $151.50 / $190.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $57.13 / $202.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.62 / $1,576.28 / $1,945.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.51 / $181.09 / $227.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.75 / $181.09 / $227.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $72.56
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.00 / $1,575.00 / $1,575.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.25 / $1,575.00 / $1,575.00