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Idaho rates for HCPCS L5341

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,678.72 / $6,466.65 / $6,728.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $5,072.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,790.37 / $3,904.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.69 / $5,775.43 / $7,692.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,923.53 / $7,308.17 / $7,692.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $5,677.29 / $6,761.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,736.09 / $7,512.51 / $11,268.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,384.97 / $5,384.97 / $8,077.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,798.02 / $3,026.25 / $5,140.13