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Idaho rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $12.02 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $19.95 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $13.49 / $20.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $12.02 / $14.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $29.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.00 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.71 / $12.59