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Iowa rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.48 / $122.48 / $152.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.54 / $105.86 / $168.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $110.15 / $204.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.15 / $204.38 / $255.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.46 / $185.46 / $198.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.50 / $238.30 / $923.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.16 / $99.35 / $253.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.40 / $204.01 / $267.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.53 / $238.30 / $389.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.94 / $92.52 / $218.23
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.75 / $181.75 / $181.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.58 / $181.75 / $181.75