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Iowa rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.19 / $135.19 / $143.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $104.41 / $174.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.99 / $225.75 / $282.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.29 / $198.12 / $295.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.64 / $229.84 / $906.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.72 / $100.23 / $264.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.38 / $213.00 / $264.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.46 / $248.82 / $407.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.57 / $96.61 / $230.49
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.96 / $183.96 / $183.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.33 / $183.96 / $183.96