go back

Iowa rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.92 / $39.92 / $45.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.85 / $28.62 / $41.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $59.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.78 / $55.13 / $68.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.66 / $53.65 / $62.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.21 / $68.93 / $253.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $33.21 / $72.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.85 / $59.02 / $72.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.31 / $68.93 / $112.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $27.65 / $61.96
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.58 / $52.58 / $52.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.54 / $52.58 / $52.58