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Idaho rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $17.36 / $17.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $13.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $13.97 / $19.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.84 / $18.82 / $19.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $14.81 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.36 / $19.36 / $29.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.87 / $14.37 / $20.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.78 / $10.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $9.19 / $14.19