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Iowa rates for HCPCS L5910

Addition Endoskeletal System Below Knee Alignable System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.10 / $364.10 / $421.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.09 / $261.08 / $365.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $281.20 / $478.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $504.00 / $630.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.60 / $473.80 / $568.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.20 / $565.11 / $2,291.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.93 / $289.14 / $593.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.77 / $478.17 / $660.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.00 / $558.55 / $913.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.93 / $250.64 / $569.70
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.01 / $426.01 / $426.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.55 / $426.01 / $426.01