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Iowa rates for HCPCS L6320

Shoulder disarticulation, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.93 / $2,119.94 / $2,119.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.64 / $1,235.83 / $2,119.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.27 / $1,637.27 / $3,008.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.27 / $2,934.00 / $3,667.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.61 / $2,778.65 / $3,404.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,744.06 / $3,281.81 / $10,648.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.20 / $1,539.76 / $3,682.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,999.53 / $3,008.32 / $3,605.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,354.54 / $3,239.72 / $5,748.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.91 / $1,366.91 / $1,366.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.65 / $1,378.39 / $3,217.91
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,680.14 / $2,680.14 / $2,680.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.31 / $2,680.14 / $2,680.14