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Idaho rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.88 / $154.35 / $154.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $110.15 / $135.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $110.14 / $117.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.77 / $139.08 / $209.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.63 / $167.46 / $176.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $130.08 / $154.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.35 / $172.14 / $258.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.39 / $128.68 / $185.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $87.94 / $135.51