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Iowa rates for HCPCS L2500

Addition To Lower Extremity Thigh/Weight Bearing Gluteal/ Ischial Weight Bearing Ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.58 / $261.98 / $261.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.86 / $213.46 / $317.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $391.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.60 / $437.25 / $546.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.48 / $367.51 / $389.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.79 / $445.37 / $1,827.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.31 / $200.32 / $486.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.73 / $391.88 / $539.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.95 / $457.76 / $748.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.31 / $177.73 / $467.27
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.13 / $349.13 / $349.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.81 / $349.13 / $349.13