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Idaho rates for HCPCS L2350

Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.40 / $991.68 / $991.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.26 / $627.26 / $839.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $457.90 / $1,231.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.31 / $850.24 / $1,172.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.28 / $1,075.90 / $1,132.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $835.80 / $995.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.68 / $1,105.99 / $1,658.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.77 / $820.75 / $1,189.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $567.91 / $584.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.04 / $500.81 / $794.28