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Idaho rates for HCPCS L4045

Replace Non-Molded Thigh Laser For Custom Fabricated Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.16 / $326.43 / $326.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $309.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $230.92 / $237.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.03 / $294.16 / $444.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.52 / $354.16 / $372.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $275.12 / $327.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.43 / $364.06 / $546.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.95 / $272.14 / $391.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.46 / $182.72 / $284.10