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Idaho rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $79.43 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $128.82 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $151.36 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $112.20 / $141.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $138.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $97.72 / $117.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $131.83 / $131.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $151.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $64.57 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $56.23 / $79.43