go back

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
$72.44 / $83.18 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $58.88 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $104.71 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $67.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $72.44 / $107.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $61.66 / $72.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $91.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $46.77 / $107.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $64.57 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $57.54 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $48.98 / $69.18