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Iowa rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $147.91 / $186.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $134.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $162.18 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $213.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $144.54 / $173.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $95.50 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $63.10 / $114.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $120.23