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Iowa rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.47 / $340.47 / $354.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.09 / $219.28 / $319.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $431.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.64 / $471.38 / $589.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.10 / $441.09 / $540.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.33 / $510.30 / $1,955.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.67 / $250.78 / $536.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.53 / $431.79 / $554.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.97 / $507.64 / $825.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.12 / $216.66 / $514.47
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.69 / $384.69 / $384.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.91 / $384.69 / $384.69