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Iowa rates for HCPCS L5925

Addition, endoskeletal system, above knee (AK), knee disarticulation or hip disarticulation, manual lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.80 / $337.80 / $391.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.10 / $242.22 / $452.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $587.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.88 / $467.63 / $587.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.29 / $517.58 / $568.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.35 / $645.26 / $2,277.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.33 / $301.80 / $699.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.35 / $587.07 / $703.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.94 / $653.96 / $1,121.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.53 / $266.25 / $524.28
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.03 / $523.03 / $523.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.19 / $523.03 / $523.03