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Iowa rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $28,840 · 10th–90th $18,197$79,4330%20%10th90th$28,840Professionalmedian $16,218 · 10th–90th $12,303$28,8400%20%10th90th$16,218$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$21,379.62 / $22,387.21 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $15,135.61 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $32,359.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $33,884.42 / $41,686.94
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27,542.29 / $28,840.32 / $34,673.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $37,153.52 / $134,896.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $19,498.45 / $47,863.01
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31,622.78 / $33,113.11 / $39,810.72
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $32,359.37 / $32,359.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29,512.09 / $47,863.01 / $47,863.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $29,512.09 / $69,183.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $15,488.17 / $27,542.29
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,387.21 / $28,183.83 / $28,183.83