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Iowa rates for HCPCS L6400

Below Elbow Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,701.66 / $2,751.49 / $2,751.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.17 / $1,672.70 / $2,438.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.02 / $2,125.02 / $3,321.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.02 / $3,808.13 / $4,760.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,792.22 / $3,284.97 / $3,640.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,925.43 / $3,925.03 / $14,520.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.40 / $1,928.63 / $4,125.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.47 / $3,321.18 / $4,230.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,950.00 / $3,879.59 / $6,346.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.40 / $1,602.17 / $3,552.43
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,958.87 / $2,958.87 / $2,958.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,337.51 / $2,958.87 / $2,958.87