go back

Iowa rates for HCPCS L6688

Upper extremity addition, frame type socket, above elbow or elbow disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.59 / $641.78 / $641.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.66 / $381.88 / $602.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.47 / $528.47 / $735.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.47 / $888.38 / $1,110.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.58 / $766.21 / $899.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.45 / $869.32 / $3,410.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.69 / $427.17 / $913.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.43 / $735.58 / $965.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.46 / $860.10 / $1,405.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.69 / $419.17 / $876.41
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.34 / $655.34 / $655.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.72 / $655.34 / $655.34