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Iowa rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.43 / $534.67 / $534.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.64 / $383.39 / $613.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $702.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.94 / $739.88 / $924.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.12 / $994.54 / $1,193.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.09 / $829.86 / $3,399.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.62 / $424.62 / $872.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.19 / $712.07 / $969.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.09 / $829.86 / $1,341.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.62 / $329.08 / $751.10
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.58 / $625.58 / $625.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.21 / $625.58 / $625.58