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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
$51.30 / $118.16 / $118.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.66 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $86.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $95.07 / $134.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $128.19 / $134.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $99.58 / $118.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.16 / $131.78 / $197.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.46 / $94.46 / $141.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.56 / $56.85 / $90.16