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Iowa rates for HCPCS L5611

Addition To Lower Extremity Endoskeletal System Above Knee - Knee Disarticulation 4 Bar Linkage With Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.75 / $1,619.75 / $1,875.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.57 / $1,161.45 / $1,693.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $2,438.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.77 / $2,241.75 / $2,802.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.80 / $2,216.80 / $2,489.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.69 / $2,848.47 / $10,120.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.77 / $1,348.61 / $2,937.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,431.34 / $2,438.48 / $2,937.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.11 / $2,848.47 / $4,659.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.77 / $1,147.57 / $2,608.35
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,172.46 / $2,172.46 / $2,172.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.24 / $2,172.46 / $2,172.46