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Idaho rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $91.20 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $147.91 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $173.78 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $147.91 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $147.91 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $114.82 / $134.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $147.91 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $112.20 / $173.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $79.43 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $69.18 / $97.72