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Iowa rates for HCPCS L2520

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.12 / $449.99 / $449.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.79 / $326.02 / $463.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.30 / $324.30 / $570.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.90 / $750.75 / $938.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.99 / $545.00 / $647.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.02 / $666.89 / $2,792.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.11 / $292.52 / $709.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.22 / $570.90 / $788.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.48 / $674.70 / $1,090.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.11 / $258.92 / $680.75
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.62 / $508.62 / $508.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.81 / $508.62 / $508.62