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Iowa rates for HCPCS Q4159

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.67 / $1,266.67 / $1,266.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $1,266.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.89 / $334.88 / $553.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.22 / $370.98 / $688.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.17 / $417.59 / $1,266.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.17 / $235.17 / $759.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.22 / $315.51 / $759.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.20 / $342.36 / $759.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.90 / $202.40 / $1,205.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $225.46
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.17 / $235.17 / $235.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.78 / $235.17 / $235.17