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Idaho rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.18 / $243.07 / $243.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.37 / $170.64 / $170.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $170.64 / $181.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.55 / $208.71 / $289.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.25 / $274.70 / $289.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $213.40 / $254.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.20 / $282.39 / $423.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.42 / $202.42 / $303.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.07 / $120.12 / $215.96