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Iowa rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.37 / $307.37 / $354.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.59 / $265.69 / $395.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $515.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.03 / $513.00 / $641.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.25 / $521.20 / $564.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.52 / $589.64 / $2,336.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $249.33 / $640.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.22 / $515.72 / $672.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.38 / $606.28 / $985.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $233.90 / $601.47
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.46 / $459.46 / $459.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.97 / $459.46 / $459.46