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Iowa rates for HCPCS L6677

Upper Extremity Addition Harness Triple Control Simultaneous Operation Of Terminal Device And Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.41 / $299.95 / $299.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.01 / $192.14 / $302.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $391.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.66 / $415.13 / $518.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.20 / $374.60 / $459.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.22 / $463.19 / $1,667.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.34 / $222.95 / $486.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.78 / $391.93 / $486.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.01 / $457.83 / $748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.34 / $179.59 / $419.28
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.17 / $349.17 / $349.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.83 / $349.17 / $349.17