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Iowa rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.08 / $471.08 / $498.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.33 / $363.75 / $608.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $742.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.48 / $786.00 / $982.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.85 / $681.64 / $945.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.77 / $800.84 / $3,157.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.14 / $349.20 / $920.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.88 / $742.04 / $920.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.74 / $866.81 / $1,418.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.99 / $726.13 / $1,228.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.45 / $336.55 / $881.39
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.09 / $661.09 / $661.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.26 / $661.09 / $661.09