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Idaho rates for HCPCS E1815

Dynamic adjustable ankle extension and flexion device, includes soft interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.26 / $483.26 / $483.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.26 / $1,035.69 / $1,963.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $99.82 / $121.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.41 / $750.30 / $1,963.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.54 / $176.54 / $176.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.22 / $132.41 / $1,272.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $74.86 / $807.45