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Iowa rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $870.96 / $1,071.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $851.14 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $478.63 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $1,000.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $501.19 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $354.81 / $616.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $645.65