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Idaho rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.16 / $468.16 / $468.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.74 / $579.41 / $579.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.03 / $419.48 / $419.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $419.48 / $491.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.06 / $466.11 / $661.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.54 / $628.63 / $661.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $488.35 / $581.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.41 / $646.21 / $969.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.20 / $479.77 / $694.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.36 / $302.14 / $465.60