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Iowa rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,187.76 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $3,162.28 / $3,162.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14