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Idaho rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Facilitymedian $123 · 10th–90th $59$1700%20%10th90th$123Professionalmedian $81 · 10th–90th $47$1510%10%10th90th$81$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$104.71
Typical High
$138.04
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$97.72
Typical High
$120.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$131.83
Typical High
$131.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$144.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$51.29
Typical High
$77.62