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Iowa rates for HCPCS K0019

Arm Pad Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $10.01 / $12.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $9.22 / $13.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $10.65 / $20.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $18.00 / $24.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.59 / $1.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $26.04 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $10.00 / $22.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $4.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.50 / $4.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $9.31 / $22.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $17.14 / $17.14