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Iowa rates for HCPCS L5718

Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.96 / $931.96 / $1,060.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.48 / $656.70 / $957.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $719.79 / $1,603.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.79 / $1,290.00 / $1,612.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.67 / $1,457.85 / $1,629.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.69 / $1,749.42 / $5,694.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.85 / $818.22 / $1,910.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.94 / $1,603.64 / $1,921.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.11 / $1,726.99 / $3,064.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.42 / $727.31 / $1,910.64
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.69 / $1,428.69 / $1,428.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.67 / $1,428.69 / $1,428.69