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Iowa rates for HCPCS L5690

Addition To Lower Extremity Below Knee Waist Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $126.17 / $126.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $73.56 / $102.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $131.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $174.75 / $218.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.08 / $150.63 / $177.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.34 / $156.60 / $629.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.60 / $78.13 / $163.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.29 / $131.68 / $178.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.82 / $155.62 / $251.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.92 / $187.92 / $305.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.60 / $67.72 / $156.88
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.32 / $117.32 / $117.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.68 / $117.32 / $117.32