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Idaho rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.55 / $30.55 / $30.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $31.56 / $35.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $30.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $30.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $21.54 / $36.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.93 / $69.23 / $81.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.86 / $37.86 / $37.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.24 / $22.52 / $37.24