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Iowa rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $924.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.26 / $630.33 / $1,268.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.81 / $915.09 / $1,656.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $1,268.07 / $1,744.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.66 / $652.66 / $1,533.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.00 / $593.92 / $1,268.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.53 / $731.58 / $1,268.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $1,006.60
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $652.66 / $652.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.60 / $652.66 / $652.66