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Iowa rates for HCPCS L1910

Ankle-foot orthosis (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.60 / $234.78 / $234.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.93 / $180.95 / $269.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.57 / $218.57 / $331.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.57 / $391.88 / $489.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.20 / $352.28 / $393.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.26 / $387.13 / $1,607.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.03 / $169.81 / $411.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.44 / $331.40 / $457.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.43 / $391.65 / $633.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.30 / $344.65 / $603.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.60 / $150.31 / $354.49
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.24 / $295.24 / $295.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.24 / $295.24 / $295.24