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Idaho rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.08 / $445.15 / $445.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.54 / $305.54 / $306.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.04 / $305.54 / $325.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.49 / $406.76 / $529.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.60 / $503.08 / $529.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $390.81 / $465.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.70 / $517.15 / $775.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.69 / $386.58 / $556.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.40 / $244.40 / $244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.55 / $243.95 / $386.90