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Idaho rates for HCPCS L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.43 / $118.91 / $154.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $110.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $102.60 / $120.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.51 / $124.12 / $176.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.58 / $167.39 / $176.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $130.03 / $154.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.29 / $172.07 / $258.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.34 / $123.34 / $185.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.17 / $70.48 / $117.73