go back

Idaho rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,976.40 / $4,113.79 / $4,674.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.00 / $3,249.00 / $3,524.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.77 / $3,249.00 / $3,346.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,357.50 / $3,677.73 / $4,893.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,404.43 / $4,649.13 / $4,893.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,611.64 / $4,301.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,285.20 / $4,779.12 / $7,168.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,425.67 / $3,425.67 / $5,138.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.17 / $2,102.75 / $3,329.36