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Iowa rates for HCPCS L1906

Ankle foot orthosis (AFO), multiligamentous ankle support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.14 / $94.14 / $131.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.76 / $81.37 / $138.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $149.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.88 / $157.13 / $196.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.72 / $152.85 / $168.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $174.10 / $722.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.77 / $76.37 / $185.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.60 / $149.04 / $205.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $174.10 / $284.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.49 / $145.11 / $246.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.77 / $67.59 / $159.38
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.78 / $132.78 / $132.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.90 / $132.78 / $132.78