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Iowa rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $492.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.85 / $502.31 / $591.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.45 / $626.75 / $1,071.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.63 / $750.89 / $1,025.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $975.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.17 / $585.10 / $591.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.63 / $576.48 / $591.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $536.35
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.20 / $487.59 / $487.59