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Iowa rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,777.76 / $3,394.67 / $3,394.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.15 / $2,172.62 / $3,394.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $4,107.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,214.74 / $4,698.38 / $5,872.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,621.88 / $4,206.00 / $5,153.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.48 / $4,925.78 / $18,916.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.68 / $2,406.23 / $5,268.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,095.83 / $4,107.85 / $7,849.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,364.33 / $4,923.29 / $9,709.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.68 / $2,146.66 / $4,894.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,659.72 / $3,659.72 / $3,659.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,891.18 / $3,659.72 / $3,659.72