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Iowa rates for HCPCS Q4162

Woundex Flow Bioskin Flow 0.5 Cc (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,922.54 / $4,922.54 / $4,922.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.00 / $1,760.00 / $1,870.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $2,642.18 / $2,642.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $1,946.16 / $2,387.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $2,200.00 / $2,992.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $4,400.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,642.18 / $2,642.18 / $2,642.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,642.18 / $2,642.18 / $2,642.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,566.67
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,200.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.00 / $2,200.00 / $2,200.00