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Idaho rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.17 / $73.36 / $95.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $73.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $66.78 / $71.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $76.95 / $108.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.84 / $103.27 / $108.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $80.22 / $95.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.19 / $106.16 / $159.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $114.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $43.85 / $69.54