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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
$144.54 / $177.83 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $281.84 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $173.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $257.04 / $354.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $288.40 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $218.78 / $257.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $288.40 / $288.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $331.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $162.18 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $138.04 / $194.98