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Iowa rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Facilitymedian $17 · 10th–90th $10–$430%10%20%10th90th$17Professionalmedian $8 · 10th–90th $5–$160%10%10th90th$8$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $17.38 / $21.38
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $15.49 / $17.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $21.38 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $29.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.95 / $22.91
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $29.51 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $17.78 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.71 / $15.49
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $17.38 / $17.38