go back

Idaho rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.58 / $52.40 / $52.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $37.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $39.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $42.17 / $59.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.86 / $56.85 / $59.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $44.71 / $53.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.40 / $58.44 / $87.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.89 / $43.38 / $62.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $27.32 / $46.39