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Iowa rates for HCPCS L0629

Lumbar-Sacral Orthosis Flexible Provides Lumbo-Sacral Support Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs Includes Straps Closures May Include Stays Shoulder Straps Pendulous Abdomen Design Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.00 / $173.00 / $173.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $173.00 / $173.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.02 / $263.02 / $263.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.02 / $263.02 / $270.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.32 / $183.40 / $196.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $173.00 / $294.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.43 / $1,266.63 / $1,266.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.63 / $1,266.63 / $1,266.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.28 / $51.28 / $1,266.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.50 / $353.50 / $353.50
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.08 / $1,038.08 / $1,038.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.08 / $1,038.08 / $1,038.08