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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
$3,235.94 / $3,388.44 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,238.72 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $5,128.61 / $6,309.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,677.35 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,623.41 / $20,417.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,951.21 / $7,244.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,011.87 / $5,888.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $7,244.36 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,235.94 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,238.72 / $3,981.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,265.80 / $4,265.80