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Idaho rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $125.89 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $213.80 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $117.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $186.21 / $245.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $213.80 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $190.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $162.18 / $245.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $91.20 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $89.13 / $125.89