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Iowa rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $436.52 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,023.29 / $1,288.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,047.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,023.29 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $575.44 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $912.01 / $1,174.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $588.84 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $436.52 / $741.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $794.33