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Idaho rates for HCPCS L2020

Knee Ankle Foot Orthosis Double Upright Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Double Bar Ak Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.12 / $1,535.82 / $1,535.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.86 / $830.86 / $1,100.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $830.86 / $885.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.68 / $1,235.49 / $1,753.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.56 / $1,666.25 / $1,753.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,294.41 / $1,541.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.82 / $1,712.84 / $2,569.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.77 / $1,227.77 / $1,841.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.64 / $876.64 / $876.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.77 / $656.27 / $1,040.83