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Idaho rates for HCPCS L3590

Orthopedic Shoe Addition Convert Firm Shoe Counter To Soft Counter (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.75 / $55.00 / $55.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $38.36 / $39.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $38.36 / $39.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.52 / $44.24 / $62.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.53 / $59.67 / $62.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $46.93 / $56.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $61.34 / $92.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.97 / $45.54 / $65.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $28.69 / $44.20