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Iowa rates for HCPCS L5961

Addition Endoskeletal System Polycentric Hip Joint Pneumatic Or Hydraulic Control With Or Without Flexion And/Or Extension Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,477.45 / $4,826.54 / $4,826.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,298.42 / $3,084.95 / $4,826.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $6,444.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,728.42 / $6,680.25 / $8,350.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,517.45 / $5,858.45 / $7,020.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,762.02 / $7,727.44 / $26,807.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,792.41 / $3,738.51 / $8,004.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,444.30 / $6,444.30 / $7,802.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,834.81 / $7,615.99 / $12,314.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,702.29 / $3,048.08 / $7,677.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,741.28 / $5,741.28 / $5,741.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,535.60 / $5,741.28 / $5,741.28