go back

Idaho rates for HCPCS L1085

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $112.20 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $177.83 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $208.93 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $144.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $162.18 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $177.83 / $190.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $158.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $181.97 / $181.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $208.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $190.55 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $100.00 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $87.10 / $120.23