go back

Idaho rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.46 / $293.42 / $293.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $215.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $189.91 / $202.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.89 / $239.59 / $335.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.58 / $318.33 / $335.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $247.29 / $294.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.42 / $327.24 / $490.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.56 / $234.56 / $351.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.19 / $151.62 / $240.47