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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
$39.81 / $60.26 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $95.50 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $69.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $97.72 / $104.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $97.72 / $102.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $97.72 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $74.13 / $112.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $52.48 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $45.71 / $56.23