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Iowa rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.64 / $793.64 / $824.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.65 / $525.74 / $766.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $1,012.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.94 / $1,098.38 / $1,372.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.36 / $947.52 / $1,144.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.84 / $1,196.29 / $4,719.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.93 / $587.82 / $1,257.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.29 / $1,012.24 / $1,329.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.51 / $1,183.75 / $1,934.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $432.81 / $657.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.62 / $474.39 / $1,082.76
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.82 / $901.82 / $901.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.44 / $901.82 / $901.82