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Iowa rates for HCPCS L8010

Breast Prosthesis Mastectomy Sleeve (Special Coverage Instructions Apply. See Mcm: 2130 A)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $72.19 / $91.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.56 / $146.91 / $146.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.86 / $62.08 / $194.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.96 / $40.28 / $63.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $50.97 / $69.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00