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Idaho rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.71 / $1,666.43 / $1,666.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $1,573.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,277.46 / $1,498.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.11 / $1,501.73 / $2,338.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.80 / $1,807.95 / $1,903.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,404.49 / $1,672.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.43 / $1,858.51 / $2,787.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.18 / $1,389.27 / $1,998.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.05 / $938.86 / $1,446.75