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Idaho rates for HCPCS L5250

Hip Disarticulation Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,672.35 / $6,457.82 / $6,907.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $5,207.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $4,366.38 / $4,497.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,005.72 / $5,773.30 / $7,822.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,914.08 / $7,298.19 / $7,682.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $5,669.54 / $6,752.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,726.90 / $7,502.26 / $11,253.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,377.62 / $5,475.72 / $8,066.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,872.52 / $3,106.84 / $5,953.20