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Iowa rates for HCPCS L1240

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.65 / $76.14 / $76.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $54.95 / $98.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $96.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.81 / $127.13 / $158.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $107.01 / $113.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $112.40 / $468.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.82 / $49.31 / $119.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.94 / $96.23 / $132.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $113.72 / $183.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.82 / $43.64 / $103.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.73 / $85.73 / $85.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $85.73 / $85.73