go back

Iowa rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.17 / $20.17 / $25.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $16.28 / $25.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $30.38 / $38.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.81 / $35.81 / $38.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $55.00 / $141.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $20.05 / $51.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.59 / $38.82 / $61.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $47.23 / $66.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $17.32 / $41.31
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $11.22 / $11.22