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Iowa rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Facilitymedian $126 · 10th–90th $74–$3550%10%20%10th90th$126Professionalmedian $68 · 10th–90th $54–$1380%20%10th90th$68$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $141.25 / $177.83
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $141.25 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $158.49 / $616.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $77.62 / $208.93
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $141.25 / $177.83
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $208.93 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $125.89 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $117.49
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $117.49 / $117.49