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Idaho rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.80 / $103.22 / $216.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.41 / $280.68 / $415.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $214.16 / $214.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $214.16 / $251.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.66 / $249.49 / $415.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.33 / $395.12 / $415.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $306.95 / $365.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.20 / $406.17 / $609.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.14 / $291.14 / $436.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $165.61 / $183.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.49 / $155.62 / $246.82