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Iowa rates for HCPCS L3420

Full Sole And Heel Wedge Between Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.79 / $45.79 / $48.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.48 / $35.35 / $59.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $72.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.63 / $76.50 / $95.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.28 / $72.13 / $78.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.18 / $84.24 / $306.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $33.94 / $89.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.90 / $72.12 / $89.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.08 / $84.24 / $137.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.18 / $94.18 / $153.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.11 / $32.71 / $77.17
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.28 / $62.28 / $62.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.20 / $62.28 / $62.28