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Iowa rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.41 / $1,491.12 / $1,491.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.15 / $925.83 / $1,491.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $2,221.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.22 / $2,064.00 / $2,580.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.22 / $1,922.01 / $2,099.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.75 / $2,466.40 / $8,261.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.77 / $1,146.85 / $2,646.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.73 / $2,221.23 / $2,662.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,769.52 / $2,392.09 / $4,244.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.80 / $1,016.24 / $2,314.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.92 / $1,978.92 / $1,978.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.35 / $1,978.92 / $1,978.92