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Idaho rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.06 / $87.13 / $87.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $65.09 / $83.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $82.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $71.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.74 / $62.68 / $88.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.37 / $58.44 / $62.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $74.22 / $88.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.86 / $60.86 / $100.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.88 / $45.76 / $65.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.46 / $49.17 / $84.16