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Idaho rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $87.78 / $87.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.86 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $69.65 / $71.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $70.61 / $100.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.23 / $95.24 / $100.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $74.89 / $90.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.78 / $97.90 / $146.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.18 / $72.65 / $105.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.31 / $45.77 / $70.52