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Iowa rates for HCPCS L7191

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $6,606.93 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $14,125.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $15,488.17 / $19,498.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,220.18 / $12,589.25 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $16,218.10 / $58,884.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $8,317.64 / $21,379.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,803.84 / $14,454.40 / $16,982.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $14,125.38 / $14,125.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $21,379.62 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $8,511.38 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $6,606.93 / $11,748.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $12,589.25 / $12,589.25