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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)

Facilitymedian $17,783 · 10th–90th $11,749–$44,6680%20%10th90th$17,783Professionalmedian $10,000 · 10th–90th $7,413–$16,9820%10%20%10th90th$10,000$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
$12,882.50 / $13,489.63 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $9,120.11 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $20,417.38 / $25,118.86
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $15,848.93 / $17,378.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $23,988.33 / $81,283.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $11,748.98 / $28,840.32
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $22,387.21 / $46,773.51
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $19,498.45 / $19,498.45
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $28,840.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $17,782.79 / $41,686.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $9,332.54 / $17,378.01
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $16,982.44 / $16,982.44