go back

Iowa rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.89 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $41.69 / $51.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $43.65 / $47.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $47.86 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $23.44 / $63.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $43.65 / $53.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $63.10 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $26.30 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.05 / $34.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $37.15 / $37.15