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Iowa rates for HCPCS L5530

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.60 / $2,098.23 / $2,098.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.60 / $1,245.10 / $1,815.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.39 / $1,295.39 / $2,428.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.39 / $2,904.00 / $3,630.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.58 / $2,505.05 / $2,684.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.07 / $2,870.37 / $10,873.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.56 / $1,410.42 / $3,016.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.67 / $2,428.78 / $3,149.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.19 / $2,838.56 / $4,641.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.56 / $1,138.26 / $2,597.88
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,163.82 / $2,163.82 / $2,163.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.42 / $2,163.82 / $2,163.82