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Iowa rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,753.63 / $3,135.75 / $3,135.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.00 / $2,008.64 / $3,164.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $4,097.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.80 / $4,340.25 / $5,425.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,556.55 / $3,852.00 / $4,720.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,375.69 / $4,842.92 / $17,433.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.94 / $2,330.71 / $5,089.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,085.87 / $4,097.85 / $5,080.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,356.16 / $4,786.85 / $7,830.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.94 / $1,984.64 / $4,866.85
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,650.81 / $3,650.81 / $3,650.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.14 / $3,650.81 / $3,650.81