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Iowa rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.59 / $1,697.59 / $1,939.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.65 / $1,373.73 / $2,042.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $2,631.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.97 / $2,832.38 / $3,540.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,236.75 / $2,423.10 / $2,567.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.79 / $3,073.90 / $12,090.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.90 / $1,289.16 / $3,268.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,623.75 / $2,631.45 / $3,474.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.94 / $3,073.90 / $5,028.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.90 / $1,193.45 / $3,137.79
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.39 / $2,344.39 / $2,344.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.07 / $2,344.39 / $2,344.39