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Iowa rates for HCPCS L3253

Foot Molded Shoe Plastazote (Or Similar) Custom Fitted Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.69 / $22.69 / $28.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.13 / $18.32 / $29.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.13 / $42.66 / $58.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.92 / $70.88 / $75.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.32 / $62.00 / $159.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $22.97 / $69.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $43.67 / $69.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $55.28 / $75.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $19.50 / $46.47
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