go back

Idaho rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.00 / $326.67 / $326.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $311.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $310.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $262.77 / $373.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.75 / $354.41 / $373.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $278.70 / $335.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.67 / $364.32 / $546.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $261.14 / $391.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $211.05 / $217.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.08 / $186.11 / $289.08