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Iowa rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.85 / $478.21 / $478.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.69 / $293.69 / $461.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.54 / $305.54 / $649.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.54 / $661.88 / $827.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.16 / $590.78 / $660.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.75 / $759.12 / $2,506.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.33 / $359.41 / $774.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.95 / $649.86 / $778.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.48 / $742.85 / $1,241.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.40 / $244.40 / $244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.50 / $322.37 / $774.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.96 / $578.96 / $578.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.38 / $578.96 / $578.96