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Idaho rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.29 / $136.19 / $136.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $97.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $88.96 / $91.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.85 / $109.57 / $155.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $147.77 / $155.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $116.20 / $140.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $151.90 / $227.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $112.78 / $163.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $71.02 / $109.44