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Idaho rates for HCPCS L5050

Ankle, Symes, molded socket, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.76 / $2,719.71 / $2,719.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,004.46 / $2,084.13 / $2,084.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $2,084.13 / $2,221.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.16 / $2,428.98 / $3,235.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,911.86 / $3,073.63 / $3,235.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,387.72 / $2,843.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,833.03 / $3,159.57 / $4,739.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.78 / $2,264.78 / $3,397.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2,061.29 / $2,117.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.55 / $1,374.19 / $2,175.80