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Iowa rates for HCPCS L5712

Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.28 / $433.19 / $433.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.97 / $310.62 / $441.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.44 / $364.44 / $573.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.44 / $599.63 / $749.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.25 / $609.55 / $772.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.45 / $677.72 / $2,756.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.76 / $344.02 / $712.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.78 / $573.45 / $785.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.66 / $669.87 / $1,095.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.76 / $298.19 / $672.33
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.89 / $510.89 / $510.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.60 / $510.89 / $510.89