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Idaho rates for HCPCS L4010

Replace trilateral socket brim

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.23 / $789.55 / $789.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $626.01 / $632.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $626.01 / $644.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.51 / $676.94 / $901.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.51 / $856.60 / $901.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $665.43 / $792.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.55 / $880.55 / $1,320.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.17 / $631.17 / $946.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.75 / $377.20 / $602.47