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Iowa rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Facilitymedian $4,898 · 10th–90th $3,388–$14,1250%20%10th90th$4,898Professionalmedian $2,951 · 10th–90th $2,188–$5,4950%20%10th90th$2,951$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,801.89 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,818.38 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,456.54 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,511.38 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $6,309.57 / $25,703.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,467.37 / $8,128.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,495.41 / $7,413.10
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $5,370.32
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,128.31 / $8,128.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $4,897.79 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,691.53 / $4,570.88
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,786.30 / $4,786.30