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Iowa rates for HCPCS L5845

Addition Endoskeletal Knee-Shin System Stance Flexion Feature Adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.49 / $1,812.37 / $1,812.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.27 / $1,160.94 / $1,828.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $1,207.83 / $2,368.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.83 / $2,508.38 / $3,135.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.58 / $2,280.08 / $2,793.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.10 / $2,799.08 / $10,094.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.33 / $1,347.08 / $2,941.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,361.54 / $2,368.44 / $2,936.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,939.76 / $2,766.69 / $4,526.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.55 / $1,055.55 / $1,055.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.33 / $1,109.99 / $2,288.57
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,110.08 / $2,110.08 / $2,110.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.96 / $2,110.08 / $2,110.08