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Iowa rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.70 / $19.70 / $20.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $15.18 / $25.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $29.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $33.00 / $41.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.85 / $30.48 / $33.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.09 / $33.49 / $131.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $14.44 / $37.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.85 / $29.93 / $38.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.52 / $35.36 / $57.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $13.57 / $35.68
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.85 / $25.85 / $25.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $25.85 / $25.85