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Iowa rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Facilitymedian $120 · 10th–90th $62$3240%10%20%10th90th$120Professionalmedian $65 · 10th–90th $44$1230%20%10th90th$65$0.1$0.5$2.0$10.0$50.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$57.54
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$147.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$147.91
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$194.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$169.82
Midlands
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$218.78
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$131.83
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$114.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$123.03