go back

Idaho rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.06 / $88.54 / $88.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $81.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $73.27 / $75.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $75.91 / $101.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.00 / $96.05 / $101.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $74.62 / $88.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.54 / $98.74 / $148.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.78 / $70.78 / $106.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.83 / $48.49 / $68.27