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Iowa rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,890.45 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,511.89 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $5,370.32 / $6,606.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,897.79 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,309.57 / $23,442.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,311.31 / $8,317.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,623.41 / $6,760.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $8,317.64 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,388.44 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,570.40 / $4,570.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,897.79 / $4,897.79