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Iowa rates for HCPCS L5644

Addition To Lower Extremity Above Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.78 / $593.78 / $687.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.32 / $425.78 / $604.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $852.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.59 / $822.00 / $1,027.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.91 / $798.68 / $978.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.19 / $1,007.41 / $3,692.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.46 / $494.04 / $1,058.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.93 / $852.42 / $1,076.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.12 / $995.75 / $1,628.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.46 / $386.60 / $839.71
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.43 / $759.43 / $759.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.95 / $759.43 / $759.43