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Iowa rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.35 / $266.39 / $266.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.13 / $207.50 / $308.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $399.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.87 / $444.38 / $555.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.92 / $383.40 / $412.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.16 / $460.34 / $1,848.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.82 / $194.72 / $496.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.36 / $399.52 / $524.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.24 / $472.16 / $763.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.82 / $181.20 / $476.41
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.94 / $355.94 / $355.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.19 / $355.94 / $355.94