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Iowa rates for HCPCS L5645

Addition To Lower Extremity Below Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.99 / $985.05 / $985.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.94 / $575.17 / $838.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $694.09 / $1,053.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.09 / $1,363.50 / $1,704.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.81 / $1,176.04 / $1,340.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.72 / $1,262.55 / $4,987.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.51 / $637.02 / $1,308.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.34 / $1,053.43 / $1,454.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.00 / $1,230.55 / $2,013.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.51 / $568.30 / $1,255.09
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.51 / $938.51 / $938.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.42 / $938.51 / $938.51