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Idaho rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.73 / $68.73 / $68.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.44 / $71.02 / $78.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $47.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.85 / $48.45 / $82.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $42.04 / $55.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.84 / $155.78 / $182.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.18 / $85.18 / $85.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.79 / $50.67 / $83.78