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Idaho rates for HCPCS L1710

Legg Perthes Orthotic, (Newington Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.08 / $1,960.27 / $1,960.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $1,544.16 / $1,684.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,544.16 / $1,590.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.64 / $1,680.70 / $2,238.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.81 / $2,126.75 / $2,238.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,652.14 / $1,967.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.27 / $2,186.21 / $3,279.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.08 / $1,567.08 / $2,350.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.29 / $1,004.74 / $1,593.50