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Iowa rates for HCPCS L2114

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.65 / $529.02 / $529.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $392.74 / $584.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $759.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.60 / $882.75 / $1,103.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.16 / $727.30 / $770.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.96 / $887.65 / $3,518.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.32 / $368.57 / $943.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.66 / $759.89 / $993.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.36 / $898.05 / $1,452.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.63 / $776.59 / $1,359.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.32 / $344.63 / $812.88
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.99 / $676.99 / $676.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.82 / $676.99 / $676.99