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Idaho rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $23.83 / $23.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $17.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $16.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $19.17 / $27.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.49 / $25.85 / $27.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $20.32 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.83 / $26.57 / $39.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.72 / $28.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $12.61 / $20.00