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Iowa rates for HCPCS L6925

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Electrodes Cables Two Batteries And One Charger Myoelectronic Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,640.39 / $9,049.23 / $9,049.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,491.89 / $5,554.10 / $9,064.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $10,905.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,103.78 / $12,525.00 / $15,656.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,125.70 / $10,536.81 / $10,954.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,322.56 / $12,888.69 / $48,028.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,739.71 / $6,333.10 / $13,545.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,873.92 / $10,905.82 / $14,048.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,951.70 / $12,888.69 / $20,840.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,725.66 / $5,487.73 / $12,993.59
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,716.09 / $9,716.09 / $9,716.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,675.71 / $9,716.09 / $9,716.09