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Idaho rates for HCPCS L1025

Addi To Cervic-Thoracic-Lumbar-Sacral Orthotic (Ctlso) Or Scol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.92 / $123.01 / $123.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $109.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $89.11 / $94.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $98.96 / $140.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.44 / $133.47 / $140.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $103.68 / $123.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.01 / $137.19 / $205.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.34 / $98.34 / $147.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.80 / $70.09 / $108.86