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Iowa rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.73 / $110.73 / $117.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.01 / $85.50 / $143.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $174.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.96 / $184.88 / $231.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $159.80 / $172.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.62 / $199.74 / $742.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.02 / $82.08 / $216.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.92 / $174.44 / $216.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.85 / $203.77 / $333.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.39 / $79.12 / $186.58
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.65 / $150.65 / $150.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.01 / $150.65 / $150.65