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Idaho rates for HCPCS L2830

Addition to lower extremity orthosis, soft interface for molded plastic, above knee section

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.61 / $92.68 / $92.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $68.45 / $88.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $68.45 / $72.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.09 / $74.56 / $105.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.26 / $100.55 / $105.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.11 / $93.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.68 / $103.36 / $155.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $77.26 / $111.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.82 / $52.80 / $81.37