go back

Idaho rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.37 / $134.15 / $134.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.10 / $99.06 / $99.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $99.06 / $105.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.17 / $107.92 / $153.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.88 / $145.54 / $153.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $114.45 / $137.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.15 / $149.61 / $224.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.24 / $111.10 / $160.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.69 / $69.95 / $107.81