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Iowa rates for HCPCS L5535

Preparatory, below knee (BK) PTB type socket, nonalignable system, no cover, SACH foot, prefabricated, adjustable open end socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.83 / $1,955.99 / $1,955.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.89 / $1,222.46 / $1,907.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.83 / $1,271.83 / $2,688.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.83 / $2,707.13 / $3,383.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,077.10 / $2,368.52 / $2,631.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,558.36 / $3,139.98 / $11,043.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.05 / $1,420.66 / $3,338.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,680.16 / $2,688.02 / $3,221.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.52 / $3,092.04 / $5,136.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.05 / $1,259.75 / $3,035.81
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,394.78 / $2,394.78 / $2,394.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.88 / $2,394.78 / $2,394.78