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Idaho rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.47 / $154.50 / $154.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $124.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $121.82 / $129.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.83 / $124.29 / $176.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.81 / $167.63 / $176.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $131.82 / $158.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.50 / $172.31 / $258.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.52 / $123.52 / $185.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.39 / $88.03 / $135.65