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Idaho rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.38 / $246.39 / $303.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $197.94 / $217.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $197.94 / $211.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.03 / $243.80 / $346.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.51 / $328.81 / $346.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $255.43 / $304.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.07 / $338.01 / $507.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.28 / $250.95 / $363.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.12 / $158.03 / $243.53