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Iowa rates for HCPCS L5976

All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)

Facilitymedian $741 · 10th–90th $468–$1,9050%20%10th90th$741Professionalmedian $407 · 10th–90th $288–$7590%20%10th90th$407$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $380.19 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $831.76 / $1,023.29
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $758.58 / $870.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $977.24 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $501.19 / $1,258.93
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $870.96 / $1,023.29
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,258.93 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $776.25 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $398.11 / $707.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $741.31 / $741.31