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Iowa rates for HCPCS L5647

Addition to lower extremity, below knee (BK), suction socket

Facilitymedian $1,230 · 10th–90th $661–$2,8840%20%10th90th$1,230Professionalmedian $617 · 10th–90th $407–$1,1480%20%10th90th$617$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,096.48 / $1,412.54
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,174.90 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,513.56 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $741.31 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,445.44 / $1,659.59
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $2,137.96 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,288.25 / $2,511.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $630.96 / $1,122.02
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,258.93 / $1,258.93