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Idaho rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.64 / $20.23 / $25.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $19.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $24.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $18.10 / $24.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $22.87 / $24.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $17.98 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.08 / $23.51 / $35.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $16.85 / $25.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $11.65 / $30.16