go back

Iowa rates for HCPCS L2640

Addition to lower extremity, pelvic control, band and belt, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.06 / $263.06 / $275.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.81 / $227.38 / $338.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $416.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.57 / $438.75 / $548.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.66 / $458.55 / $495.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.83 / $486.47 / $2,077.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.00 / $213.39 / $517.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.24 / $416.45 / $575.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.08 / $486.47 / $795.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.94 / $188.88 / $492.17
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.02 / $371.02 / $371.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.11 / $371.02 / $371.02