go back

Iowa rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.69 / $522.32 / $522.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.48 / $374.53 / $649.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $685.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.66 / $723.00 / $903.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.79 / $678.27 / $814.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.68 / $822.12 / $3,225.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.33 / $414.80 / $852.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.95 / $685.96 / $947.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.79 / $810.68 / $1,310.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.33 / $321.47 / $733.75
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.13 / $611.13 / $611.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.79 / $611.13 / $611.13