go back

Iowa rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.24 / $1,437.93 / $1,437.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.45 / $865.70 / $1,262.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.11 / $1,200.11 / $1,585.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.11 / $1,990.13 / $2,487.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.96 / $1,716.73 / $1,884.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.20 / $1,901.23 / $7,578.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.68 / $958.79 / $1,969.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.89 / $1,585.53 / $2,189.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.00 / $1,852.12 / $3,029.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.68 / $876.89 / $1,889.06
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.56 / $1,412.56 / $1,412.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.92 / $1,412.56 / $1,412.56