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Idaho rates for HCPCS L5301

Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.49 / $2,826.60 / $3,043.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $2,294.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,721.98 / $2,019.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.57 / $2,524.46 / $3,362.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,026.30 / $3,194.43 / $3,362.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,481.56 / $2,955.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,944.38 / $3,283.75 / $4,925.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,353.79 / $2,353.79 / $3,530.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.15 / $1,374.83 / $2,246.78