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Idaho rates for HCPCS L2250

Addition to lower extremity, foot plate, molded to patient model, stirrup attachment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.31 / $414.95 / $467.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.60 / $252.60 / $334.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $184.40 / $497.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.93 / $375.98 / $533.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.37 / $507.05 / $533.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $393.90 / $469.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.36 / $521.23 / $781.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.62 / $373.62 / $560.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.34 / $199.71 / $356.64