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Iowa rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.34 / $71.34 / $75.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.26 / $55.10 / $92.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $112.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.65 / $118.88 / $148.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.52 / $102.18 / $104.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.05 / $131.30 / $478.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $52.89 / $139.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.07 / $112.40 / $139.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.05 / $131.30 / $214.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.36 / $50.98 / $120.18
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.07 / $97.07 / $97.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.69 / $97.07 / $97.07