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Iowa rates for HCPCS L8043

Upper Facial Prosthesis Provided By A Non-Physician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,111.09 / $3,802.05 / $3,802.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.77 / $2,433.34 / $3,802.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.52 / $3,600.52 / $4,600.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,600.52 / $5,262.38 / $6,577.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,056.52 / $4,676.68 / $5,730.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,667.28 / $5,516.89 / $21,186.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.25 / $2,695.00 / $5,901.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,587.34 / $4,600.81 / $8,792.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,768.07 / $5,514.10 / $10,874.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.25 / $2,375.44 / $5,481.55
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,098.89 / $4,098.89 / $4,098.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,238.13 / $4,098.89 / $4,098.89