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Idaho rates for HCPCS L5210

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Foot Blocks No Ankle Joints Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.96 / $3,264.35 / $3,264.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $1,819.89 / $2,229.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,819.89 / $1,940.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.03 / $2,748.86 / $3,883.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,494.98 / $3,689.14 / $3,883.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,865.88 / $3,413.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,400.36 / $3,792.30 / $5,688.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,718.32 / $2,718.32 / $4,077.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.42 / $1,453.01 / $2,304.46