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Idaho rates for HCPCS L1110

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $294.86 / $294.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $225.30 / $240.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $232.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.67 / $251.95 / $336.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.06 / $319.89 / $336.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $248.50 / $295.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.86 / $328.84 / $493.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.71 / $235.71 / $353.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.34 / $143.54 / $227.66