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Idaho rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $103.46 / $103.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $74.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $72.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $83.22 / $118.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.34 / $112.24 / $118.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $88.26 / $106.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.46 / $115.38 / $173.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.71 / $85.67 / $124.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.88 / $53.95 / $85.56