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Iowa rates for HCPCS L6629

Upper Extremity Addition Quick Disconnect Lamination Collar With Coupling Piece Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.06 / $196.11 / $196.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.15 / $114.32 / $153.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $199.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $271.50 / $339.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.60 / $222.80 / $236.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.45 / $235.34 / $917.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.61 / $116.81 / $247.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.55 / $199.13 / $266.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.00 / $232.62 / $380.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.61 / $102.83 / $237.27
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.41 / $177.41 / $177.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.15 / $177.41 / $177.41