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Iowa rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.00 / $91.00 / $114.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.67 / $73.47 / $116.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $136.88 / $175.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.61 / $351.34 / $375.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.47 / $248.00 / $638.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.80 / $92.16 / $272.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.05 / $175.16 / $277.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.34 / $221.68 / $301.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.80 / $78.17 / $186.41
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