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Idaho rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $398.11 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $575.44 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $676.08 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $457.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $512.86 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $436.52 / $537.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $588.84 / $588.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $676.08
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $398.11 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $302.00 / $467.74