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Iowa rates for HCPCS L1830

Knee Orthosis Immobilizer Canvas Longitudinal Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.78 / $53.48 / $75.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.07 / $49.47 / $83.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $97.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $90.55 / $115.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.47 / $79.80 / $109.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $115.24 / $340.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.73 / $57.37 / $134.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.82 / $102.00 / $129.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.48 / $115.61 / $206.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.89 / $73.78 / $124.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.73 / $51.22 / $120.75
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.15 / $87.15 / $87.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.84 / $87.15 / $87.15