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Iowa rates for HCPCS L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,191.41 / $6,299.24 / $6,299.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,582.69 / $3,707.50 / $5,722.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $8,064.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,865.01 / $8,718.75 / $10,898.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,392.51 / $8,523.31 / $10,443.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,675.47 / $9,420.75 / $33,007.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,475.79 / $4,460.27 / $10,017.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,041.17 / $8,064.76 / $9,665.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,605.09 / $9,377.67 / $15,411.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,381.80 / $3,657.66 / $8,626.56
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,184.97 / $7,184.97 / $7,184.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,676.13 / $7,184.97 / $7,184.97