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Iowa rates for HCPCS L5968

Addition To Lower Limb Prosthesis Multiaxial Ankle With Swing Phase Active Dorsiflexion Feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,226.68 / $3,674.44 / $3,674.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.38 / $2,353.73 / $3,707.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $4,801.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.80 / $5,085.75 / $6,357.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,167.54 / $4,567.50 / $5,596.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.88 / $5,675.01 / $20,504.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.92 / $2,731.13 / $5,964.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,787.89 / $4,801.93 / $5,953.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,932.78 / $5,609.32 / $9,176.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.92 / $2,316.50 / $5,702.94
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,278.08 / $4,278.08 / $4,278.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,379.68 / $4,278.08 / $4,278.08