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Iowa rates for HCPCS Q4152

Dermapure Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.00 / $115.00 / $115.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $115.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $65.55 / $69.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.58 / $56.02 / $91.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.41 / $69.33 / $135.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $45.41 / $90.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.49 / $65.55 / $78.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.38 / $65.55 / $78.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $65.98
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.41 / $45.41 / $45.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.86 / $45.41 / $45.41