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Idaho rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.03 / $106.03 / $106.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.22 / $109.56 / $121.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $56.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $74.75 / $127.12
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
$180.26 / $240.34 / $281.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.40 / $131.40 / $131.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $78.17 / $129.25