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Idaho rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $316.23 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $354.81 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $208.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $354.81 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $354.81 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $269.15 / $323.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $363.08 / $363.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $275.42 / $416.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $169.82 / $208.93