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Iowa rates for HCPCS L5600

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,882.80 / $5,272.94 / $5,272.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,282.54 / $3,205.32 / $4,797.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,072.36 / $4,072.36 / $5,924.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,072.36 / $7,298.25 / $9,122.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,223.80 / $6,297.94 / $9,097.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.80 / $7,098.95 / $28,628.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,662.49 / $3,549.98 / $7,358.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,907.36 / $5,924.70 / $8,107.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,852.34 / $6,920.86 / $11,321.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.89 / $2,858.14 / $6,337.32
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,278.37 / $5,278.37 / $5,278.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,169.91 / $5,278.37 / $5,278.37