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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
$91.11 / $162.12 / $162.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.01 / $144.01 / $145.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.13 / $144.00 / $148.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.85 / $139.00 / $185.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.63 / $175.88 / $185.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $136.63 / $162.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.12 / $180.80 / $271.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.60 / $129.60 / $194.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.98 / $86.51 / $133.31