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Iowa rates for HCPCS L6689

Upper Extremity Addition Frame Type Socket Shoulder Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.88 / $764.88 / $784.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.46 / $485.72 / $721.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.92 / $649.92 / $918.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.92 / $1,058.63 / $1,323.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.54 / $975.99 / $1,230.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.29 / $1,085.09 / $4,278.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.46 / $537.95 / $1,140.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.48 / $918.16 / $1,228.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.31 / $1,072.53 / $1,754.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.46 / $479.92 / $1,093.91
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.00 / $818.00 / $818.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.22 / $818.00 / $818.00