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Idaho rates for HCPCS L2397

Addition To Lower Extremity Orthosis Suspension Sleeve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.67 / $100.47 / $130.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $93.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $152.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.78 / $104.88 / $148.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.99 / $141.44 / $148.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $109.87 / $130.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.37 / $145.38 / $218.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.22 / $104.22 / $156.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $63.16 / $100.18