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Iowa rates for HCPCS L2040

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $125.89 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $281.84 / $354.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $213.80 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $257.04 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $239.88 / $302.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $331.13 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $131.83 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $100.00 / $190.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $194.98 / $194.98