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Idaho rates for HCPCS L1980

Ankle Foot Orthosis Single Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Single Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.22 / $463.03 / $463.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $273.20 / $345.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $273.20 / $291.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.16 / $384.20 / $528.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.91 / $502.35 / $528.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $390.24 / $464.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.03 / $516.40 / $774.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.15 / $370.15 / $555.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.72 / $206.27 / $353.33