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Idaho rates for HCPCS L1630

Hip Orthosis Abduction Control Of Hip Joints Semi-Flexible (Von Rosen Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.83 / $180.55 / $180.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $130.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $200.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $145.25 / $206.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.57 / $195.88 / $206.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $152.16 / $181.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.55 / $201.36 / $302.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.33 / $144.33 / $216.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $95.24 / $161.38