go back

Iowa rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $223.87 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $489.78 / $616.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $524.81 / $2,041.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $467.74 / $588.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $323.59 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $213.80 / $371.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $398.11