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Iowa rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Facilitymedian $389 · 10th–90th $229–$1,1220%20%10th90th$389Professionalmedian $214 · 10th–90th $151–$4270%20%10th90th$214$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
$251.19 / $251.19 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $208.93 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $426.58 / $537.03
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $537.03 / $588.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $489.78 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $239.88 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $457.09 / $562.34
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $407.38 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $199.53 / $371.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $380.19