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Iowa rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.35 / $407.68 / $407.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.29 / $334.62 / $537.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $671.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.88 / $680.25 / $850.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.91 / $641.20 / $694.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.28 / $741.85 / $3,004.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.95 / $321.24 / $833.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.16 / $671.13 / $846.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.66 / $783.97 / $1,282.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.47 / $640.96 / $1,089.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.68 / $304.39 / $717.94
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.91 / $597.91 / $597.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.36 / $597.91 / $597.91