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Iowa rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Facilitymedian $68 · 10th–90th $45–$1740%20%10th90th$68Professionalmedian $39 · 10th–90th $26–$720%20%10th90th$39$0.1$0.5$2.0$10.0$50.0$200.0

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
$51.29 / $51.29 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $37.15 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $81.28 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $74.13 / $89.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $85.11 / $331.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $45.71 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $75.86 / $93.33
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $109.65 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $67.61 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $35.48 / $63.10
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $64.57