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Iowa rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,979.38 / $3,403.48 / $3,403.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.85 / $2,194.12 / $3,434.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $4,443.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,800.11 / $4,710.75 / $5,888.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,860.22 / $4,063.39 / $4,763.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.92 / $5,251.06 / $19,065.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.03 / $2,545.92 / $5,518.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,430.21 / $4,443.21 / $5,549.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,639.02 / $5,190.28 / $8,490.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.03 / $2,015.15 / $4,752.63
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,958.49 / $3,958.49 / $3,958.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,127.21 / $3,958.49 / $3,958.49