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Iowa rates for HCPCS L5858

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

Facilitymedian $22,387 · 10th–90th $14,454$60,2560%20%10th90th$22,387Professionalmedian $12,882 · 10th–90th $9,550$22,3870%20%10th90th$12,882$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
$16,595.87 / $17,378.01 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,748.98 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $25,118.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $26,302.68 / $32,359.37
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,379.62 / $22,387.21 / $26,915.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $28,840.32 / $104,712.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $15,135.61 / $37,153.52
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24,547.09 / $25,703.96 / $30,199.52
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $25,118.86 / $25,118.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,908.68 / $37,153.52 / $37,153.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $22,908.68 / $53,703.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $12,022.64 / $21,379.62
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,378.01 / $21,877.62 / $21,877.62