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Iowa rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.00 / $646.69 / $646.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.61 / $403.14 / $587.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $747.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.05 / $895.13 / $1,118.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.73 / $772.09 / $944.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.13 / $894.03 / $3,569.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.86 / $446.48 / $927.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.92 / $747.11 / $1,019.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.45 / $882.95 / $1,427.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.86 / $350.13 / $799.15
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.61 / $665.61 / $665.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.83 / $665.61 / $665.61