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Iowa rates for HCPCS L3265

Plastazote Sandal, Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.08 / $10.08 / $12.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $8.14 / $12.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $22.97 / $28.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.57 / $31.44 / $33.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $27.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $10.22 / $30.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $19.41 / $30.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.21 / $24.56 / $33.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $8.66 / $20.65
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.55 / $44.55 / $44.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.19 / $44.55 / $44.55