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Iowa rates for HCPCS L2190

Addition to lower extremity fracture orthosis, waist belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $57.54 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $120.23 / $147.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $102.33 / $109.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $131.83 / $501.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $64.57 / $173.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $120.23 / $147.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $64.57 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $51.29 / $95.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $102.33 / $102.33