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Iowa rates for HCPCS L6650

Upper Extremity Addition Shoulder Universal Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.58 / $399.33 / $399.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.43 / $244.01 / $420.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $280.67 / $446.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.67 / $552.75 / $690.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.02 / $483.64 / $580.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.08 / $535.60 / $2,155.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.87 / $270.24 / $555.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.89 / $453.18 / $617.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.01 / $528.14 / $854.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.87 / $228.76 / $478.08
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.13 / $398.13 / $398.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.52 / $398.13 / $398.13