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Idaho rates for HCPCS L0467

Thoracic-lumbar-sacral orthosis (TLSO), sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.74 / $256.95 / $256.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.30 / $312.30 / $312.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.98 / $312.30 / $321.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.35 / $166.09 / $269.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.61 / $173.78 / $193.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $304.67 / $362.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.47 / $187.47 / $422.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.16 / $140.96 / $202.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.66 / $209.99 / $333.04