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Idaho rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.98 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $25.70 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $22.91 / $31.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $23.44 / $31.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $25.12 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $37.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.13 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.13 / $16.60