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Iowa rates for HCPCS L5910

Addition, endoskeletal system, below knee (BK), alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $501.19 / $630.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $562.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $562.34 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $323.59 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $660.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $331.13 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $229.09 / $398.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $426.58