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Idaho rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.96 / $81.87 / $81.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $73.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $66.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.17 / $70.20 / $93.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.14 / $88.82 / $93.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $68.99 / $82.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.87 / $91.30 / $136.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.44 / $65.44 / $98.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.35 / $43.64 / $67.25