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Iowa rates for HCPCS L5859

Addition To Lower Extremity Prosthesis Endoskeletal Knee-Shin System Powered And Programmable Flexion/Extension Assist Control Includes Any Type Motor(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,883.29 / $14,671.20 / $14,671.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,336.16 / $9,735.27 / $14,803.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $19,172.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,812.54 / $20,306.25 / $25,382.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,390.05 / $16,073.51 / $17,515.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,501.68 / $23,126.41 / $81,836.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,307.87 / $11,480.74 / $23,814.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,172.79 / $19,172.79 / $23,856.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,116.70 / $22,658.75 / $36,638.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,332.56 / $8,985.39 / $14,927.34
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,081.21 / $17,081.21 / $17,081.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,494.16 / $17,081.21 / $17,081.21