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Iowa rates for HCPCS Q4165

Keramatrix Or Kerasorb Per Square Centimeter (Desc Rvsd 10/1/19)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $42.59 / $45.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.68 / $36.00 / $45.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.59 / $53.24 / $74.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.36 / $44.36 / $136.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.36 / $44.36 / $48.80
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.98 / $29.98 / $29.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.68 / $29.98 / $29.98