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Iowa rates for HCPCS L2830

Addition to lower extremity orthosis, soft interface for molded plastic, above knee section

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.54 / $73.54 / $102.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.56 / $63.57 / $98.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $68.45 / $116.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $122.63 / $153.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.55 / $122.39 / $132.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $136.00 / $594.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.60 / $59.66 / $144.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.08 / $116.42 / $160.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.41 / $137.44 / $222.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.34 / $169.34 / $275.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.60 / $52.80 / $137.59
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.72 / $103.72 / $103.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.94 / $103.72 / $103.72