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Idaho rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $194.98 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $229.09 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $112.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $169.82 / $234.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $194.98 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $177.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $229.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $104.71 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $89.13 / $125.89