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Iowa rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Facilitymedian $646 · 10th–90th $398–$1,6220%20%10th90th$646Professionalmedian $380 · 10th–90th $245–$6760%20%10th90th$380$0.5$2.0$10.0$50.0$200.0$1.0K

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
$416.87 / $457.09 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $371.54 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $891.25 / $1,096.48
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $758.58 / $812.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $758.58 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $426.58 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $676.08 / $870.96
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $977.24 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $602.56 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $323.59 / $630.96
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $575.44 / $575.44