go back

Idaho rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.36 / $157.84 / $157.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.48 / $112.36 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $112.36 / $115.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.54 / $126.97 / $180.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.22 / $171.25 / $180.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $134.66 / $162.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.84 / $176.04 / $264.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.18 / $126.18 / $189.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $67.45 / $139.69