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Idaho rates for HCPCS L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,005.82 / $6,918.74 / $6,918.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $5,162.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $5,010.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.15 / $5,797.68 / $8,230.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,407.55 / $7,819.08 / $8,230.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $6,074.19 / $7,233.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,207.02 / $8,037.71 / $12,056.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,761.43 / $5,761.43 / $8,642.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,847.36 / $3,079.62 / $5,499.47