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Idaho rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.25 / $227.91 / $227.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $271.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $214.95 / $229.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.44 / $201.89 / $255.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.33 / $190.35 / $204.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $223.99 / $266.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.18 / $198.18 / $297.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.88 / $149.01 / $214.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.58 / $161.78 / $256.58