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Iowa rates for HCPCS L5824

Addition, endoskeletal knee-shin system, single axis, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.17 / $1,674.17 / $1,785.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.76 / $1,105.50 / $1,611.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.48 / $1,408.48 / $2,099.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.48 / $2,317.13 / $2,896.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.64 / $2,185.77 / $2,678.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.43 / $2,481.75 / $9,898.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.28 / $1,224.36 / $2,608.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.81 / $2,099.94 / $2,796.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.35 / $2,481.75 / $4,012.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.28 / $1,084.24 / $2,501.96
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.86 / $1,870.86 / $1,870.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.98 / $1,870.86 / $1,870.86