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Iowa rates for HCPCS L1001

Cervical Thoracic Lumbar Sacral Orthosis Immobolizer Infant Size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $45.60 / $60.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $48.34 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $84.10