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Iowa rates for HCPCS L3260

Surgical Boot/Shoe Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $196.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $7.67 / $17.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $21.12 / $21.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $15.94 / $21.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.92 / $30.50 / $42.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $23.77 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $9.61 / $26.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $17.96 / $28.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $21.83 / $30.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.67 / $8.00 / $9.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.55 / $16.52
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.22 / $17.22 / $17.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $17.22 / $17.22