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Idaho rates for HCPCS L5280

Hemipelvectomy 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
$4,955.77 / $6,849.55 / $6,849.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $5,110.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $4,728.96 / $4,870.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.27 / $5,739.71 / $8,148.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,333.48 / $7,740.89 / $8,148.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $6,013.45 / $7,161.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,134.95 / $7,957.34 / $11,936.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,703.82 / $5,703.82 / $8,555.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.89 / $3,048.83 / $5,444.47