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Idaho rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.00 / $1,691.12 / $1,691.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $1,211.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,206.80 / $1,243.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.02 / $1,360.42 / $1,931.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $1,834.74 / $1,931.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,442.83 / $1,738.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.12 / $1,886.05 / $2,829.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.92 / $1,409.86 / $2,027.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.84 / $963.51 / $1,484.74