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Idaho rates for HCPCS L2492

Addition to knee joint, lift loop for drop lock ring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $72.44 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $114.82 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $134.90 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $91.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $104.71 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $114.82 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $85.11 / $104.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $117.49 / $117.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $102.33 / $134.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $64.57 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $57.54 / $79.43