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Iowa rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.91 / $343.91 / $360.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.09 / $247.42 / $351.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $433.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.11 / $573.75 / $717.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.26 / $393.85 / $494.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.42 / $512.01 / $2,095.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.29 / $221.99 / $538.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.98 / $433.24 / $598.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.28 / $512.01 / $827.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.73 / $504.86 / $883.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.39 / $203.04 / $516.60
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.97 / $385.97 / $385.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.92 / $385.97 / $385.97