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Iowa rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $559.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.60 / $315.75 / $1,501.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.32 / $553.94 / $1,002.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $331.68 / $1,307.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.83 / $194.83 / $1,501.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.79 / $297.50 / $864.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.85 / $331.68 / $1,501.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $598.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $194.83 / $194.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $194.83 / $194.83