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Idaho rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,482.72 / $6,195.74 / $6,195.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $4,384.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $4,052.23 / $4,173.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.85 / $5,533.46 / $7,370.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,633.49 / $7,002.01 / $7,370.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $5,439.46 / $6,478.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,453.90 / $7,197.79 / $10,796.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,159.38 / $5,159.38 / $7,739.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.82 / $2,784.85 / $4,924.78