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Idaho rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.58 / $64.48 / $64.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.09 / $52.95 / $52.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $52.95 / $56.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $52.32 / $73.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.28 / $69.95 / $73.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $54.34 / $64.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.48 / $71.91 / $107.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.55 / $51.55 / $77.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.04 / $35.75 / $56.70