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Iowa rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.90 / $210.90 / $211.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.68 / $160.07 / $238.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $342.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.81 / $351.75 / $439.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.77 / $303.52 / $422.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.68 / $358.66 / $1,417.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.96 / $158.15 / $408.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.65 / $342.65 / $410.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.62 / $400.26 / $654.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.60 / $331.58 / $556.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.77 / $155.40 / $366.44
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.27 / $305.27 / $305.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.16 / $305.27 / $305.27