go back

Idaho rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $23.50 / $23.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $24.28 / $27.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $27.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $16.57 / $27.99
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
$39.95 / $53.26 / $62.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.12 / $29.12 / $29.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $17.32 / $28.64