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Iowa rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Facilitymedian $37 · 10th–90th $21–$1100%10%20%10th90th$37Professionalmedian $23 · 10th–90th $16–$400%20%10th90th$23$0.1$0.2$1.0$5.0$20.0$100.0

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
$21.88 / $21.88 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $52.48 / $64.57
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $45.71 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $46.77 / $194.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.91 / $60.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $40.74 / $54.95
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $37.15 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.50 / $48.98
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $33.88