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Idaho rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.36 / $76.36 / $76.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.49 / $78.91 / $87.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $69.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.24 / $53.84 / $91.88
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
$129.83 / $173.10 / $202.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $94.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $56.30 / $118.73