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Idaho rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,870.05 / $4,366.64 / $4,375.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $3,299.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,481.10 / $2,909.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.53 / $3,665.57 / $5,194.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,675.14 / $4,934.88 / $5,194.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,833.62 / $4,565.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,548.58 / $5,072.85 / $7,609.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,636.23 / $3,636.23 / $5,454.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $2,952.05 / $3,032.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.61 / $1,968.04 / $3,470.89