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Idaho rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $101.10 / $101.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $78.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $71.68 / $73.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.21 / $82.14 / $115.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.92 / $109.70 / $115.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $85.21 / $101.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.10 / $112.76 / $169.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.83 / $80.83 / $121.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.27 / $46.79 / $74.22