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Iowa rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $180.00 / $180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $180.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $82.12 / $180.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $119.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.34 / $180.00 / $252.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.34 / $66.34 / $180.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.01 / $77.70 / $96.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $79.62 / $180.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $114.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.34 / $66.34 / $66.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.42 / $66.34 / $66.34