go back

Iowa rates for HCPCS L6620

Upper extremity addition, flexion/extension wrist unit, with or without friction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.06 / $378.70 / $378.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.31 / $220.77 / $355.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.48 / $292.48 / $501.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.48 / $524.25 / $655.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $452.13 / $488.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.50 / $582.28 / $1,897.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.12 / $271.60 / $622.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.62 / $501.08 / $600.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.63 / $552.85 / $957.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.92 / $234.83 / $535.99
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.42 / $446.42 / $446.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.67 / $446.42 / $446.42