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Iowa rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,892.10 / $5,290.92 / $5,290.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,492.81 / $3,352.62 / $5,290.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $7,335.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,052.23 / $7,323.00 / $9,153.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,392.52 / $6,316.78 / $6,668.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,252.59 / $8,568.65 / $29,802.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,143.09 / $3,985.23 / $9,111.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,313.86 / $7,335.32 / $8,791.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,007.64 / $8,480.04 / $14,017.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,143.09 / $3,360.95 / $8,211.81
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,535.10 / $6,535.10 / $6,535.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,162.72 / $6,535.10 / $6,535.10