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Iowa rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.64 / $468.78 / $468.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $300.27 / $473.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $612.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.03 / $648.75 / $810.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.69 / $559.66 / $659.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.13 / $723.94 / $2,615.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.23 / $348.42 / $760.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.79 / $612.57 / $759.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.71 / $715.57 / $1,170.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.23 / $287.08 / $655.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.74 / $545.74 / $545.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.13 / $545.74 / $545.74