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Iowa rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Facilitymedian $100 · 10th–90th $55$2950%10%10th90th$100Professionalmedian $58 · 10th–90th $44$1070%20%10th90th$58$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $123.03 / $151.36
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $114.82 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $125.89 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $61.66 / $162.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $112.20 / $147.91
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $162.18 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $100.00 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $48.98 / $93.33
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $95.50 / $95.50