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Iowa rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.42 / $326.64 / $326.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.53 / $241.63 / $419.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $484.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.02 / $544.88 / $681.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.60 / $478.53 / $518.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.44 / $555.30 / $2,011.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.11 / $221.39 / $601.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.65 / $484.06 / $580.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.00 / $565.45 / $925.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.72 / $184.46 / $221.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.46 / $219.54 / $577.21
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.25 / $431.25 / $431.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.69 / $431.25 / $431.25