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Iowa rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $450.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.16 / $170.20 / $204.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $187.95 / $321.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.86 / $241.43 / $637.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.86 / $142.86 / $289.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.38 / $166.20 / $216.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.38 / $171.43 / $216.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $145.09
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.86 / $142.86 / $142.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.86 / $142.86 / $142.86