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Idaho rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,184.74 / $4,437.28 / $4,437.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $3,001.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $3,001.57 / $3,199.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,899.65 / $4,377.37 / $5,278.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,750.79 / $5,014.72 / $5,278.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,895.64 / $4,639.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,622.17 / $5,154.93 / $7,732.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,695.06 / $3,695.06 / $5,542.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.14 / $1,975.10 / $4,058.09