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Iowa rates for HCPCS L5785

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

Facilitymedian $631 · 10th–90th $427–$1,7780%20%10th90th$631Professionalmedian $380 · 10th–90th $275–$6760%20%10th90th$380$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $489.78 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $354.81 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $724.44 / $912.01
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $676.08 / $812.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $831.76 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $446.68 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $707.95 / $954.99
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $338.84 / $588.84
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $616.60 / $616.60