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Idaho rates for HCPCS L2188

Addition To Lower Extremity Fracture Orthosis Quadrilateral Brim

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.94 / $320.11 / $320.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.63 / $218.27 / $218.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $218.27 / $224.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.67 / $257.52 / $365.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.02 / $347.30 / $365.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $273.11 / $329.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.11 / $357.01 / $535.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.91 / $255.91 / $383.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.63 / $168.32 / $259.39