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Iowa rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.85 / $238.85 / $241.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.08 / $182.54 / $304.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $348.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.91 / $398.63 / $498.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.67 / $316.49 / $343.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.82 / $406.05 / $1,586.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.27 / $171.30 / $432.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.12 / $348.14 / $461.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.13 / $411.44 / $665.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.82 / $350.64 / $613.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.62 / $157.88 / $406.01
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.16 / $310.16 / $310.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.03 / $310.16 / $310.16