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Iowa rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.88 / $1,618.88 / $1,713.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.88 / $1,250.07 / $2,092.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $2,550.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,178.94 / $2,701.13 / $3,376.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.50 / $2,329.91 / $2,511.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.43 / $2,752.10 / $10,889.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.36 / $1,200.07 / $3,161.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,542.80 / $2,550.26 / $3,161.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.67 / $2,979.06 / $4,873.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.09 / $1,156.63 / $2,727.90
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,272.05 / $2,272.05 / $2,272.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.92 / $2,272.05 / $2,272.05