go back

Iowa rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.91 / $590.91 / $653.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.05 / $423.72 / $666.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $1,034.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.56 / $817.88 / $1,034.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.49 / $870.03 / $940.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.87 / $1,128.78 / $3,726.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.66 / $527.94 / $1,232.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.69 / $1,034.72 / $1,240.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.84 / $1,114.32 / $1,977.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.24 / $469.28 / $1,026.55
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.84 / $921.84 / $921.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.25 / $921.84 / $921.84