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Iowa rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.22 / $46.30 / $46.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.03 / $33.20 / $46.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $34.54 / $60.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $64.13 / $80.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.61 / $65.86 / $79.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $71.84 / $279.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.33 / $36.77 / $75.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.62 / $60.80 / $83.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $71.84 / $116.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.33 / $29.33 / $65.06
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.16 / $54.16 / $54.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.79 / $54.16 / $54.16