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Iowa rates for HCPCS L3216

Orthopedic Footwear Ladies Shoe Depth Inlay Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.99 / $58.99 / $73.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.33 / $47.63 / $75.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.13 / $114.00 / $142.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.96 / $113.08 / $120.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.63 / $150.37 / $414.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $59.74 / $161.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.31 / $113.54 / $179.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.85 / $138.13 / $195.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $50.60 / $120.84
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.77 / $52.77 / $52.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.77 / $52.77