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Idaho rates for HCPCS L3050

Foot Arch Support Removable Premolded Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.80 / $39.40 / $48.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $34.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $31.65 / $33.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $38.97 / $55.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.81 / $52.57 / $55.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $41.34 / $49.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.45 / $54.04 / $81.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $40.14 / $58.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $29.21 / $29.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $25.27 / $40.08