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Iowa rates for HCPCS L5857

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

Facilitymedian $10,233 · 10th–90th $6,607$28,1840%10%20%10th90th$10,233Professionalmedian $5,888 · 10th–90th $4,365$10,2330%20%10th90th$5,888$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$7,585.78 / $7,943.28 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,370.32 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $11,481.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $12,022.64 / $14,791.08
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $10,232.93 / $10,715.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $13,182.57 / $47,863.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $6,918.31 / $16,982.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,748.98 / $14,125.38
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $11,481.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $16,982.44 / $16,982.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $10,471.29 / $24,547.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,495.41 / $9,772.37
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $10,000.00 / $10,000.00