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Iowa rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.31 / $65.31 / $75.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.43 / $46.84 / $75.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $48.73 / $94.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.73 / $90.38 / $112.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $95.34 / $116.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.86 / $111.03 / $406.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.13 / $54.34 / $117.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.35 / $94.63 / $118.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $110.54 / $180.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $39.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.13 / $45.65 / $112.75
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.31 / $84.31 / $84.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.59 / $84.31 / $84.31