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Iowa rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.23 / $1,789.23 / $1,873.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.17 / $1,213.25 / $1,745.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $2,124.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.80 / $2,985.38 / $3,731.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.25 / $2,223.46 / $2,575.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.25 / $2,510.69 / $10,169.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.29 / $1,088.54 / $2,638.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.23 / $2,124.44 / $2,933.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.51 / $2,510.69 / $4,059.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.04 / $963.51 / $2,533.23
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.68 / $1,892.68 / $1,892.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.22 / $1,892.68 / $1,892.68