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Idaho rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.92 / $108.72 / $108.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $70.98 / $77.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $70.98 / $73.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.59 / $87.44 / $124.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.74 / $117.95 / $124.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $92.76 / $111.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.72 / $121.25 / $181.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.91 / $89.98 / $130.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.40 / $56.68 / $85.38