go back

Idaho rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.74 / $137.19 / $137.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $98.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.42 / $78.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $110.36 / $156.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.01 / $148.85 / $156.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $115.62 / $137.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.19 / $153.01 / $229.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.68 / $109.68 / $164.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.20 / $58.63 / $92.97