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Iowa rates for HCPCS L8480

Prosthetic Sock Single Ply Fitting Above Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.26 / $9.26 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $6.63 / $9.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.14 / $7.14 / $12.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $12.75 / $15.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $11.79 / $17.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.05 / $14.57 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $7.35 / $15.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.12 / $12.16 / $16.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $14.20 / $23.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $7.28 / $8.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.56 / $14.37
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $10.83 / $10.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $10.83 / $10.83