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Iowa rates for HCPCS L5250

Hip Disarticulation Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,653.62 / $5,653.62 / $5,691.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,594.21 / $3,740.27 / $5,462.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $7,698.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,366.38 / $7,825.13 / $9,781.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,227.51 / $6,999.07 / $8,317.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,463.42 / $9,098.79 / $33,390.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,346.01 / $4,339.97 / $9,562.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,676.45 / $7,698.98 / $9,460.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,594.00 / $8,993.45 / $14,712.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,346.01 / $4,105.50 / $8,774.75
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,859.09 / $6,859.09 / $6,859.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,418.68 / $6,859.09 / $6,859.09