go back

Iowa rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Facilitymedian $1,905 · 10th–90th $1,023$5,7540%10%20%10th90th$1,905Professionalmedian $1,072 · 10th–90th $851$2,0890%20%10th90th$1,072$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,071.52 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,187.76 / $2,754.23
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,041.74 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,454.71 / $10,000.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,202.26 / $3,162.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,137.96 / $2,884.03
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,162.28 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,905.46 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $933.25 / $1,778.28
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,862.09 / $1,862.09