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Iowa rates for HCPCS L5688

Addition To Lower Extremity Below Knee Waist Belt Webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.34 / $61.81 / $61.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.54 / $44.03 / $64.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $93.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.81 / $85.50 / $106.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $85.16 / $100.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.30 / $109.42 / $392.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $51.80 / $111.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $93.68 / $112.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.72 / $109.42 / $178.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.58 / $43.90 / $95.94
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.46 / $83.46 / $83.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.93 / $83.46 / $83.46