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Iowa rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.63 / $1,341.85 / $1,341.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.44 / $825.33 / $1,341.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $2,015.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.33 / $1,857.38 / $2,321.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.93 / $1,832.22 / $2,152.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.44 / $2,198.66 / $7,109.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.47 / $1,028.33 / $2,401.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.54 / $2,015.44 / $2,415.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,577.43 / $2,170.46 / $3,851.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.75 / $914.08 / $2,082.64
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.58 / $1,795.58 / $1,795.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.51 / $1,795.58 / $1,795.58