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Iowa rates for HCPCS L1980

Ankle-foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom fabricated

Facilitymedian $447 · 10th–90th $245$1,2590%10%10th90th$447Professionalmedian $263 · 10th–90th $170$4680%20%10th90th$263$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $251.19 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $562.34 / $707.95
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $467.74 / $501.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $549.54 / $2,238.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $281.84 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $524.81 / $630.96
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $776.25 / $776.25
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $645.65 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $467.74 / $1,096.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $229.09 / $436.52
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $446.68 / $446.68