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Idaho rates for HCPCS L1005

Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.11 / $3,295.81 / $3,295.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $2,360.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $2,326.75 / $2,480.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.53 / $2,651.30 / $3,763.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,387.53 / $3,575.72 / $3,763.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,777.77 / $3,308.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,295.81 / $3,675.70 / $5,513.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,634.74 / $2,729.03 / $3,952.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.04 / $1,718.66 / $2,725.78