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Iowa rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,772.95 / $3,157.76 / $3,157.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.98 / $2,035.43 / $3,186.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $2,677.88 / $4,126.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.88 / $4,370.63 / $5,463.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,581.52 / $3,842.74 / $4,708.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,392.40 / $4,876.97 / $17,719.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.47 / $2,361.79 / $5,125.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,114.60 / $4,126.67 / $5,148.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,379.76 / $4,820.51 / $7,886.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.47 / $2,011.11 / $4,465.59
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,676.49 / $3,676.49 / $3,676.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,904.43 / $3,676.49 / $3,676.49