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Idaho rates for HCPCS L1290

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), L

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.52 / $79.20 / $79.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.55 / $60.55 / $74.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $60.55 / $64.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $67.91 / $90.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.41 / $85.93 / $90.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $66.75 / $79.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.20 / $88.33 / $132.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.32 / $63.32 / $94.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $44.18 / $68.06