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Iowa rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $21.09 / $21.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $14.02 / $25.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $28.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.54 / $29.25 / $36.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $30.07 / $38.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $33.61 / $125.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $16.27 / $35.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.36 / $28.45 / $35.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.29 / $33.22 / $54.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.34 / $37.34 / $60.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $13.85 / $32.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.34 / $25.34 / $25.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $25.34 / $25.34