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Iowa rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $44.67 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $109.65 / $138.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $83.18 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $93.33 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $45.71 / $138.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $81.28 / $109.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $47.86 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.48 / $67.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $70.79