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Iowa rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Facilitymedian $589 · 10th–90th $372$1,7380%10%10th90th$589Professionalmedian $372 · 10th–90th $240$6760%20%10th90th$372$0.5$2.0$10.0$50.0$200.0$1.0K

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
$371.54 / $371.54 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $371.54 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $851.14 / $1,071.52
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $794.33 / $870.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $758.58 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $371.54 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $676.08 / $870.96
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $977.24 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $602.56 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $295.12 / $616.60
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $562.34 / $562.34