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Iowa rates for HCPCS L2628

Addition To Lower Extremity Pelvic Control Metal Frame Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.47 / $1,311.47 / $1,830.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.09 / $1,133.61 / $2,030.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $2,076.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.41 / $2,188.13 / $2,735.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.11 / $1,989.36 / $2,188.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.71 / $2,425.32 / $10,013.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.33 / $1,063.83 / $2,578.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,070.15 / $2,076.23 / $2,867.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.86 / $2,453.71 / $3,967.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.99 / $941.64 / $2,220.88
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.73 / $1,849.73 / $1,849.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.29 / $1,849.73 / $1,849.73