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Idaho rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.91 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $38.90 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $30.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $33.88 / $47.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.90 / $40.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $34.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.90 / $38.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $44.67
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $40.74 / $40.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $17.78 / $25.12