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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
$30.20 / $46.77 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $70.79 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $52.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $63.10 / $97.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $75.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $63.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $72.44 / $72.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $83.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $75.86 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $40.74 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $35.48 / $48.98