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Idaho rates for HCPCS L2630

Addition To Lower Extremity Pelvic Control Band And Belt Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.57 / $258.02 / $258.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $233.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $174.32 / $185.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.85 / $207.58 / $294.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.20 / $279.95 / $294.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $220.14 / $265.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.02 / $287.77 / $431.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.28 / $215.12 / $309.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.68 / $139.18 / $214.46