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Iowa rates for HCPCS L5631

Addition To Lower Extremity Above Knee Or Knee Disarticulation Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.68 / $441.72 / $441.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.69 / $316.74 / $443.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $580.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.53 / $611.25 / $764.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.47 / $574.07 / $689.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.31 / $695.60 / $2,777.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.75 / $350.79 / $720.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.41 / $580.10 / $801.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.10 / $677.63 / $1,108.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.75 / $304.07 / $685.57
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.80 / $516.80 / $516.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.28 / $516.80 / $516.80