go back

Iowa rates for HCPCS L5671

Addition To Lower Extremity Below Knee / Above Knee Suspension Locking Mechanism (Shuttle Lanyard Or Equal) Excludes Socket Insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.06 / $500.06 / $579.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.61 / $358.57 / $604.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $875.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.63 / $692.25 / $875.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.02 / $765.30 / $810.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.64 / $955.24 / $3,301.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.29 / $448.66 / $1,043.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.07 / $875.63 / $1,049.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.32 / $942.98 / $1,673.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.23 / $397.13 / $776.13
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.11 / $780.11 / $780.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.29 / $780.11 / $780.11