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Idaho rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.88 / $1,620.20 / $1,620.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,438.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $1,249.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.10 / $1,389.13 / $1,850.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.29 / $1,757.80 / $1,850.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,365.53 / $1,626.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.20 / $1,806.95 / $2,710.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.22 / $1,295.22 / $1,942.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.57 / $858.30 / $1,361.26