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Idaho rates for HCPCS L4110

Replace Leather Cuff Kafo-Afo, Calf Or Distal Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.19 / $111.54 / $111.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $79.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $61.81 / $65.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $89.73 / $127.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.64 / $121.01 / $127.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $94.00 / $111.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.54 / $124.40 / $186.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $89.17 / $133.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.06 / $47.66 / $85.11