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Iowa rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $81.05 / $120.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $121.76 / $244.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.02 / $112.74 / $216.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.31 / $66.31 / $196.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.34 / $79.58 / $196.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.34 / $86.87 / $196.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.00 / $467.00 / $467.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $74.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.31 / $66.31 / $66.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.39 / $66.31 / $66.31