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Idaho rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.49 / $560.76 / $560.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $419.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $412.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.26 / $481.27 / $668.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.37 / $608.39 / $640.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $472.62 / $562.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.76 / $625.40 / $938.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.29 / $467.50 / $672.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.39 / $319.49 / $492.33