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Iowa rates for HCPCS L2397

Addition To Lower Extremity Orthosis Suspension Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.18 / $102.18 / $105.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.20 / $76.05 / $117.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $166.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.54 / $170.63 / $213.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $171.62 / $182.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.36 / $174.77 / $659.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.16 / $75.73 / $199.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.49 / $166.98 / $200.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $192.33 / $319.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.60 / $75.73 / $191.18
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.76 / $148.76 / $148.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.52 / $148.76 / $148.76