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Iowa rates for HCPCS L6655

Upper extremity addition, standard control cable, extra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.59 / $77.47 / $77.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $54.15 / $84.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $118.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.82 / $107.25 / $134.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.49 / $106.20 / $118.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.81 / $138.66 / $477.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.77 / $62.83 / $141.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.37 / $118.71 / $142.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $136.96 / $226.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.25 / $144.25 / $234.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.77 / $53.84 / $120.24
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.76 / $105.76 / $105.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.55 / $105.76 / $105.76