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Iowa rates for HCPCS L8417

Prosthetic Sheath/Sock Including A Gel Cushion Layer Below Knee Or Above Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.76 / $76.05 / $76.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $48.69 / $76.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $99.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $105.38 / $131.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.26 / $92.44 / $113.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.61 / $117.44 / $423.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $56.50 / $123.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.08 / $99.37 / $123.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.38 / $116.07 / $189.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $48.11 / $118.39
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.94 / $88.53 / $88.53