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Idaho rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Facilitymedian $4,266 · 10th–90th $2,570–$5,8880%20%10th90th$4,266Professionalmedian $3,388 · 10th–90th $1,905–$5,3700%10%10th90th$3,388$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,884.03 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,466.84 / $7,585.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,370.32 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $3,019.95
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $3,981.07 / $5,128.61
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,570.88 / $4,786.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $4,073.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,570.88 / $4,570.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $5,011.87
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,786.30 / $4,786.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,090.30 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,089.30 / $3,235.94