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Idaho rates for HCPCS L0974

Thoracic-lumbar-sacral orthosis (TLSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.43 / $182.76 / $182.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $163.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $136.19 / $145.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $156.68 / $208.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.85 / $198.28 / $208.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $154.03 / $183.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.76 / $203.83 / $305.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.10 / $146.10 / $219.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.04 / $100.63 / $159.59