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Idaho rates for HCPCS L3500

Orthopedic Shoe Addition Insole Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $30.12 / $30.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.57 / $23.58 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $23.58 / $25.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $24.23 / $34.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.96 / $32.68 / $34.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.00 / $30.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.12 / $33.59 / $50.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $24.92 / $36.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $18.14 / $18.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $15.71 / $24.91