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Idaho rates for HCPCS L2640

Addition to lower extremity, pelvic control, band and belt, bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.91 / $402.15 / $402.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $316.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $236.56 / $243.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.94 / $331.51 / $459.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.34 / $436.31 / $459.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $343.11 / $413.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.15 / $448.51 / $672.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.49 / $321.49 / $482.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.63 / $188.88 / $306.87