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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
$223.87 / $223.87 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $436.52 / $549.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $446.68 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $229.09 / $602.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $407.38 / $537.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $234.42 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $177.83 / $323.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $346.74