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Iowa rates for HCPCS L3230

Orthopedic Footwear Custom Shoes Depth Inlay Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $85.45 / $107.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.98 / $69.00 / $109.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $139.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.48 / $235.15 / $293.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.60 / $419.20 / $448.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.00 / $234.00 / $600.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $86.54 / $260.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.09 / $164.48 / $260.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.41 / $208.16 / $282.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $75.00 / $182.35
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.88 / $216.88 / $216.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.34 / $216.88 / $216.88