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Idaho rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.43 / $26.43 / $26.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $27.31 / $30.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $18.63 / $31.94
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
$44.94 / $59.92 / $70.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.76 / $32.76 / $32.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $19.48 / $32.22