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Idaho rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.67 / $2,398.73 / $2,398.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $1,912.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,499.97 / $1,599.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.66 / $2,056.63 / $2,739.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,465.48 / $2,602.46 / $2,739.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,021.70 / $2,407.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.73 / $2,675.22 / $4,012.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.60 / $1,917.60 / $2,876.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.02 / $1,141.07 / $1,809.74