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Idaho rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.57 / $99.57 / $99.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $102.89 / $114.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $139.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $139.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.24 / $70.19 / $119.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $172.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.26 / $225.68 / $264.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.40 / $123.40 / $123.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $73.40 / $121.38