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Iowa rates for HCPCS L3660

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Canvas And Webbing Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.73 / $78.73 / $107.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $58.24 / $102.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $156.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.96 / $132.44 / $164.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.31 / $122.85 / $177.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.15 / $171.87 / $589.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.53 / $70.79 / $186.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.65 / $156.10 / $187.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.05 / $182.34 / $298.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.57 / $144.75 / $253.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.02 / $70.79 / $147.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.81 / $134.81 / $134.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.50 / $134.81 / $134.81