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Iowa rates for HCPCS A6505

Compression burn garment, glove to elbow, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $126.11 / $149.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $310.70 / $357.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $127.50 / $144.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.48 / $126.11 / $126.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.11 / $126.11 / $126.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.48 / $126.11 / $126.11
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $105.00 / $105.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $105.00 / $105.00