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Idaho rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $34.67 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $57.54 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $67.61 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $36.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $57.54 / $63.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $57.54 / $61.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $52.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $58.88 / $58.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $44.67 / $67.61
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $61.66 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $31.62 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $27.54 / $38.90