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Idaho rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.54 / $576.75 / $576.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.54 / $387.54 / $413.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $387.54 / $399.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.11 / $463.97 / $658.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.79 / $625.74 / $658.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $492.07 / $592.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.75 / $643.23 / $964.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.07 / $461.07 / $691.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.86 / $246.45 / $440.10