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Iowa rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.24 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.91 / $28.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $31.62 / $33.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $21.88 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $12.02 / $36.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $24.55 / $56.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $8.71 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.71 / $16.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $44.67 / $44.67