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Idaho rates for HCPCS L5160

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,631.30 / $5,018.95 / $5,084.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,833.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $3,670.30 / $3,780.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.53 / $4,482.45 / $5,970.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,373.55 / $5,672.08 / $5,970.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $4,406.31 / $5,247.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,228.07 / $5,830.67 / $8,746.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,179.43 / $4,179.43 / $6,269.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.63 / $2,287.12 / $4,626.75