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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
$131.83 / $213.80 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $354.81 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $218.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $309.03 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $275.42 / $323.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $354.81 / $354.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $407.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $169.82 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $169.82 / $234.42