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Iowa rates for HCPCS L5985

All Endoskeletal Lower Extremity Protheses Dynamic Prosthetic Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.93 / $285.54 / $285.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.78 / $184.07 / $288.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $372.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.51 / $395.25 / $494.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.95 / $340.91 / $387.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.12 / $440.56 / $1,599.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.01 / $213.58 / $463.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.70 / $372.78 / $465.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.30 / $435.46 / $712.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.01 / $179.83 / $398.68
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.11 / $332.11 / $332.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.37 / $332.11 / $332.11