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Iowa rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.15 / $84.24 / $84.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.79 / $62.32 / $92.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.47 / $75.47 / $114.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.47 / $140.63 / $175.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.37 / $99.07 / $121.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.51 / $134.00 / $539.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.87 / $59.25 / $142.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.38 / $114.71 / $156.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.06 / $135.56 / $219.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.87 / $52.03 / $136.80
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.19 / $102.19 / $102.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.73 / $102.19 / $102.19