go back

Iowa rates for HCPCS L7190

Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $5,128.61 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $11,748.98 / $14,791.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $10,232.93 / $12,022.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $12,022.64 / $46,773.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,606.93 / $15,135.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,471.29 / $13,803.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $10,232.93 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,471.29 / $15,135.61 / $15,135.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $6,918.31 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,897.79 / $8,511.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $8,912.51 / $8,912.51