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Idaho rates for HCPCS L2190

Addition to lower extremity fracture orthosis, waist belt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $58.88 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $95.50 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $109.65 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $61.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $83.18 / $114.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $74.13 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $95.50 / $95.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $72.44 / $109.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $100.00 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $48.98 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $48.98 / $66.07