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Iowa rates for HCPCS L6693

Upper extremity addition, locking elbow, forearm counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,520.85 / $2,870.69 / $2,870.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.44 / $1,838.86 / $2,896.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $3,751.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.07 / $3,973.13 / $4,966.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,255.94 / $3,655.54 / $4,479.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.90 / $4,433.59 / $16,018.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.42 / $2,133.69 / $4,659.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,740.52 / $3,751.50 / $4,651.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,072.50 / $4,382.26 / $7,169.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.51 / $2,018.42 / $2,301.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.12 / $1,936.95 / $4,012.75
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,342.24 / $3,342.24 / $3,342.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,640.37 / $3,342.24 / $3,342.24