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Idaho rates for HCPCS L3090

Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $41.92 / $41.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $30.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $27.38 / $28.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $33.71 / $47.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.08 / $45.48 / $47.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $36.61 / $43.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.92 / $46.75 / $70.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.51 / $34.67 / $50.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.85 / $21.86 / $34.65