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Iowa rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$269

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $380 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$191 to $347
FacilityA hospital or hospital-owned outpatient department$380$257 to $550

How much rates vary

Facilitymedian $380 · 10th to 90th $234 to $933Professionalmedian $257 · 10th to 90th $151 to $501
$200$500$1K$2Kfacility $380professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$537.03
Typical High
$676.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$549.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$457.09
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$602.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$537.03
Midlands
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$416.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$346.74

Where Iowa sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 15th of 51

$269

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.