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Iowa rates for HCPCS L3214

Benesch boot, pair, junior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.32 / $38.32 / $48.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $30.94 / $49.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.68 / $57.75 / $73.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.65 / $91.17 / $97.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.94 / $105.00 / $269.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.81 / $38.81 / $97.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.91 / $73.76 / $116.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.61 / $89.73 / $126.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.81 / $32.92 / $70.70
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.22 / $45.22 / $45.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $45.22 / $45.22