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Idaho rates for HCPCS L3214

Benesch boot, pair, junior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.64 / $44.64 / $44.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $46.13 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $36.27 / $49.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $31.47 / $53.68
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
$75.90 / $101.20 / $118.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.33 / $55.33 / $55.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.04 / $32.92 / $54.42