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Iowa rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $81.00 / $120.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.41 / $60.49 / $105.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $110.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.22 / $132.76 / $168.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.10 / $109.27 / $118.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.26 / $129.40 / $535.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.14 / $57.20 / $137.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.45 / $110.77 / $152.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.73 / $130.91 / $211.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.72 / $118.90 / $208.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.14 / $50.24 / $132.10
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.67 / $95.67 / $95.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.58 / $95.67 / $95.67