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Idaho rates for HCPCS L1840

Knee orthosis (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.23 / $1,049.24 / $1,049.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $866.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $1,087.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.63 / $899.60 / $1,198.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.43 / $1,138.33 / $1,198.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $884.31 / $1,053.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.24 / $1,170.17 / $1,755.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.78 / $838.78 / $1,258.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.81 / $516.79 / $819.62