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Idaho rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $245.47 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $295.12 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $190.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $229.09 / $316.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $251.19 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $223.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $257.04 / $257.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $208.93 / $295.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $263.03 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $147.91 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $128.82 / $173.78