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Idaho rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $323.59 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $524.81 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $380.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $467.74 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $524.81 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $537.03 / $537.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $616.60
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $549.54 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $257.04 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $257.04 / $363.08