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Idaho rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $67.45 / $67.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $48.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $39.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.72 / $54.25 / $77.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $73.19 / $77.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $56.85 / $67.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.45 / $75.23 / $112.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.93 / $53.93 / $80.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $33.65 / $51.85