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Idaho rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.80 / $204.27 / $248.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.40 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $150.11 / $160.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.50 / $199.76 / $283.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.22 / $269.39 / $283.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $209.28 / $249.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.31 / $276.93 / $415.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.51 / $198.51 / $297.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $106.10 / $168.28