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Iowa rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.20 / $288.89 / $288.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.76 / $164.96 / $226.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $284.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $399.75 / $499.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.75 / $278.50 / $344.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.96 / $341.19 / $1,316.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.90 / $172.06 / $353.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.70 / $284.55 / $392.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.04 / $332.38 / $543.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $127.90 / $194.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.90 / $146.91 / $339.01
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.51 / $253.51 / $253.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.27 / $253.51 / $253.51