go back

Iowa rates for HCPCS L4130

Replace pretibial shell

Facilitymedian $631 · 10th–90th $331–$1,6980%10%20%10th90th$631Professionalmedian $324 · 10th–90th $245–$6310%20%10th90th$324$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
$389.05 / $389.05 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $309.03 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $676.08 / $831.76
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $602.56 / $645.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $741.31 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $371.54 / $1,023.29
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $707.95 / $851.14
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,023.29 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $630.96 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $309.03 / $575.44
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $588.84 / $588.84