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Idaho rates for HCPCS L0700

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.61 / $1,994.37 / $1,994.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $1,703.99 / $1,904.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,703.99 / $1,755.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.56 / $1,709.94 / $2,304.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.87 / $2,163.75 / $2,277.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,680.89 / $2,001.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.37 / $2,224.25 / $3,336.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.34 / $1,612.89 / $2,391.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.58 / $1,136.29 / $1,750.98