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Iowa rates for HCPCS L5540

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,773.81 / $2,071.67 / $2,071.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.96 / $1,304.74 / $2,071.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $2,980.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.98 / $2,867.25 / $3,584.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,303.34 / $2,660.31 / $2,955.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.09 / $3,475.82 / $11,580.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.93 / $1,550.93 / $3,598.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,972.07 / $2,980.79 / $3,572.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,416.00 / $3,300.19 / $5,696.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.20 / $1,351.90 / $2,579.23
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,655.61 / $2,655.61 / $2,655.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.92 / $2,655.61 / $2,655.61