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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
$2,344.23 / $2,951.21 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,677.35 / $7,244.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $3,235.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $4,073.80 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,786.30 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $4,265.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,786.30 / $4,786.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $5,495.41
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,011.87 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,818.38 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,089.30 / $3,235.94