go back

Idaho rates for HCPCS L2010

Knee Ankle Foot Orthosis Single Upright Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Without Knee Joint Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.27 / $1,204.32 / $1,204.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.83 / $740.83 / $871.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $740.83 / $763.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.49 / $968.81 / $1,375.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.83 / $1,306.60 / $1,375.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,027.51 / $1,237.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.32 / $1,343.14 / $2,014.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.77 / $962.77 / $1,444.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.48 / $519.67 / $824.20