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Iowa rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Facilitymedian $191 · 10th–90th $112–$4790%20%10th90th$191Professionalmedian $100 · 10th–90th $68–$1860%10%20%10th90th$100$0.2$1.0$5.0$20.0$100.0$500.0

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
$120.23 / $147.91 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $91.20 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $186.21 / $229.09
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $199.53 / $239.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $239.88 / $831.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $123.03 / $323.59
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $218.78 / $251.19
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $323.59 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $194.98 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $97.72 / $165.96
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $186.21 / $186.21