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Iowa rates for HCPCS L5280

Hemipelvectomy 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
$5,897.01 / $6,123.10 / $6,123.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,562.92 / $3,670.43 / $5,616.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $7,915.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,728.96 / $8,475.00 / $10,593.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,213.77 / $8,414.35 / $11,602.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,589.03 / $9,283.90 / $34,402.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,440.17 / $4,377.80 / $9,831.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,892.48 / $7,915.64 / $9,486.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,909.12 / $9,246.56 / $15,126.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,777.96 / $9,777.96 / $15,889.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,440.17 / $3,626.86 / $8,467.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,052.12 / $7,052.12 / $7,052.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,571.17 / $7,052.12 / $7,052.12