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Iowa rates for HCPCS L6676

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Dual Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.64 / $126.32 / $126.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $87.42 / $140.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $97.54 / $171.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.54 / $174.75 / $218.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.40 / $166.25 / $199.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.62 / $203.07 / $771.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.68 / $99.79 / $213.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.33 / $171.83 / $221.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.85 / $200.72 / $328.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.68 / $91.73 / $204.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.09 / $153.09 / $153.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.94 / $153.09 / $153.09