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Iowa rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $281.84 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $616.60 / $758.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $741.31 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $954.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $660.69 / $758.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $389.05 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $288.40 / $524.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $562.34