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Iowa rates for HCPCS L6205

Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.20 / $4,562.76 / $4,562.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.74 / $2,659.88 / $3,827.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.90 / $3,523.90 / $4,938.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,523.90 / $6,315.38 / $7,894.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,354.59 / $5,447.43 / $5,971.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,863.26 / $5,836.82 / $23,227.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,180.52 / $2,907.36 / $6,134.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,924.39 / $4,938.85 / $6,639.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,044.94 / $5,836.82 / $9,438.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,180.52 / $2,314.60 / $5,282.79
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,400.06 / $4,400.06 / $4,400.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,476.05 / $4,400.06 / $4,400.06