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Iowa rates for HCPCS L5940

Addition Endoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.28 / $504.28 / $584.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.80 / $361.59 / $527.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $878.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.03 / $697.88 / $878.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.04 / $743.03 / $965.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.21 / $963.29 / $3,201.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.27 / $452.45 / $1,046.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.77 / $878.34 / $1,052.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.11 / $945.90 / $1,678.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.99 / $398.36 / $782.67
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.52 / $782.52 / $782.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.19 / $782.52 / $782.52