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Iowa rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $263.03 / $331.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $165.96 / $229.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $239.88 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $120.23 / $331.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $223.87 / $269.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $331.13 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $120.23 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $97.72 / $186.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $194.98