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Iowa rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.69 / $1,302.49 / $1,302.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.04 / $1,033.30 / $1,740.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $2,071.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.63 / $2,173.13 / $2,716.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.31 / $1,874.55 / $1,972.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.84 / $2,214.23 / $9,141.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.30 / $991.97 / $2,572.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,065.15 / $2,071.21 / $2,613.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.32 / $2,419.46 / $3,958.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.64 / $939.37 / $2,215.50
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.26 / $1,845.26 / $1,845.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.76 / $1,845.26 / $1,845.26