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Iowa rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $64.57 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $138.04 / $173.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $131.83 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $158.49 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $83.18 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $158.49 / $177.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $229.09 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $75.86 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $69.18 / $120.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $131.83