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Idaho rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.29 / $80.08 / $103.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $80.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $66.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.83 / $83.82 / $118.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.80 / $112.74 / $118.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $87.57 / $104.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.91 / $115.89 / $173.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.07 / $83.07 / $124.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.15 / $47.76 / $75.73