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Idaho rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.06 / $1,991.24 / $1,991.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,426.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $2,473.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.35 / $1,601.85 / $2,274.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,046.65 / $2,160.36 / $2,274.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,678.25 / $1,998.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,991.24 / $2,220.76 / $3,331.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.84 / $1,648.80 / $2,387.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.83 / $1,038.36 / $1,600.09