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Iowa rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.90 / $2,521.09 / $2,521.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.84 / $1,644.85 / $2,521.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $4,016.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.28 / $3,489.38 / $4,361.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,829.00 / $3,206.01 / $3,651.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,328.65 / $4,381.85 / $14,301.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.19 / $2,049.44 / $4,785.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,004.95 / $4,016.71 / $4,814.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,143.76 / $4,325.67 / $7,675.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.06 / $1,821.72 / $3,912.88
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.52 / $3,578.52 / $3,578.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,827.03 / $3,578.52 / $3,578.52