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Iowa rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,870.05 / $3,612.45 / $3,612.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.66 / $2,369.29 / $4,022.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $4,339.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,481.10 / $4,999.88 / $6,249.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,825.99 / $4,498.20 / $5,399.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,515.69 / $5,203.34 / $20,983.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.49 / $2,624.05 / $5,389.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,326.64 / $4,339.32 / $5,992.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,553.93 / $5,128.29 / $8,292.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.41 / $2,600.65 / $2,965.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.49 / $2,240.46 / $4,752.01
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,865.94 / $3,865.94 / $3,865.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,054.09 / $3,865.94 / $3,865.94