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Idaho rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.50 / $533.40 / $541.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.56 / $323.47 / $790.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $231.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $211.27 / $225.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.90 / $260.20 / $369.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.47 / $350.94 / $369.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $272.62 / $324.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.47 / $360.75 / $541.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $267.82 / $387.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.96 / $168.68 / $286.26