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Idaho rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.83 / $442.03 / $442.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $257.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.10 / $262.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.85 / $355.59 / $504.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.33 / $479.57 / $504.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $372.55 / $443.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.03 / $492.98 / $739.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.37 / $353.37 / $530.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.67 / $196.49 / $337.30