go back

Idaho rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.79 / $107.99 / $107.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $79.77 / $103.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $79.77 / $85.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.72 / $86.87 / $123.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.99 / $117.15 / $123.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $91.01 / $108.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.99 / $120.43 / $180.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.32 / $90.02 / $129.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.89 / $61.52 / $94.81