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Iowa rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $51.29 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $109.65 / $138.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $109.65 / $117.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $128.82 / $512.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $63.10 / $169.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $114.82 / $144.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $69.18 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $50.12 / $93.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $95.50 / $95.50