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Idaho rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.93 / $509.77 / $600.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.40 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $636.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.32 / $427.18 / $606.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.79 / $576.11 / $606.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $447.54 / $533.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.01 / $592.22 / $888.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.50 / $424.50 / $636.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.73 / $302.54 / $469.94