go back

Idaho rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $66.73 / $66.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $63.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.54 / $58.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.54 / $60.13 / $91.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $72.40 / $76.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $56.24 / $66.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.73 / $74.42 / $111.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.35 / $55.63 / $80.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $38.02 / $59.65