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Iowa rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.37 / $130.85 / $130.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.62 / $105.98 / $179.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $215.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.82 / $218.25 / $272.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.67 / $203.20 / $220.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.26 / $225.84 / $928.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.03 / $101.74 / $268.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.20 / $215.83 / $268.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.75 / $252.11 / $412.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.24 / $97.88 / $230.90
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.29 / $192.29 / $192.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.91 / $192.29 / $192.29