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Iowa rates for HCPCS L1300

Other Scoliosis Procedure, Body Jacket Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.83 / $1,442.83 / $1,701.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.66 / $1,130.27 / $1,680.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $2,228.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.46 / $2,407.50 / $3,009.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.18 / $2,235.19 / $2,422.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.90 / $2,603.65 / $10,083.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.64 / $1,075.24 / $2,768.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.36 / $2,228.89 / $2,858.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.53 / $2,603.65 / $4,259.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.48 / $1,010.88 / $2,384.15
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,985.73 / $1,985.73 / $1,985.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.73 / $1,985.73 / $1,985.73