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Iowa rates for HCPCS L2760

Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.56 / $47.56 / $66.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.17 / $41.11 / $61.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.77 / $42.77 / $75.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.77 / $79.50 / $99.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.03 / $74.34 / $80.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.00 / $87.95 / $365.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.72 / $38.58 / $93.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.08 / $75.30 / $103.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $87.95 / $143.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.21 / $33.85 / $40.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.72 / $34.15 / $88.99
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.08 / $67.08 / $67.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.99 / $67.08 / $67.08