go back

Iowa rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.70 / $58.19 / $58.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $36.82 / $53.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $72.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $80.63 / $100.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.80 / $72.22 / $88.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $85.94 / $328.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $42.22 / $90.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.50 / $72.72 / $93.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.75 / $85.94 / $138.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $40.21 / $86.63
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.79 / $64.79 / $64.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.18 / $64.79 / $64.79