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Idaho rates for HCPCS L3003

Foot Insert Removable Molded To Patient Model Silicone Gel Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.76 / $179.46 / $179.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.53 / $149.11 / $149.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $149.11 / $153.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.40 / $144.35 / $204.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.45 / $194.69 / $204.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $153.11 / $184.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.46 / $200.14 / $300.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.46 / $148.56 / $215.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.51 / $93.57 / $144.18