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Idaho rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $2.94 / $2.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.94 / $4.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $3.62 / $5.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $5.00 / $7.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $7.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.17 / $3.21