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Idaho rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $120.62 / $120.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $100.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $75.09 / $80.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $103.42 / $137.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.98 / $130.86 / $137.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $101.66 / $121.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.62 / $134.52 / $201.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.43 / $96.43 / $144.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $59.95 / $95.08