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Iowa rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $128.82 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $309.03 / $380.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $263.03 / $295.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $263.03 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $151.36 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $234.42 / $309.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $154.88 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $109.65 / $194.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $199.53