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Iowa rates for HCPCS L5782

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System Heavy Duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.44 / $4,265.22 / $4,265.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.77 / $2,732.14 / $4,303.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $5,573.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,294.10 / $5,903.25 / $7,379.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,837.60 / $5,092.22 / $6,022.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,231.45 / $6,587.39 / $23,712.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,422.46 / $3,170.22 / $6,923.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,557.64 / $5,573.94 / $6,910.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,565.09 / $6,511.13 / $10,651.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,415.28 / $2,612.25 / $5,962.23
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,965.88 / $4,965.88 / $4,965.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,923.05 / $4,965.88 / $4,965.88