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Idaho rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.51 / $48.49 / $48.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $37.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $50.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $41.57 / $55.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.84 / $52.61 / $55.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $40.86 / $48.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.49 / $54.08 / $81.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $38.77 / $58.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $22.32 / $35.40