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Iowa rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $47.06 / $47.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $47.06 / $776.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $49.88 / $187.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.11 / $440.11 / $440.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.11 / $440.11 / $440.11