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Idaho rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.54 / $1,295.80 / $1,702.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $1,283.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $992.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.48 / $1,216.36 / $1,852.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.35 / $1,464.43 / $1,541.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,137.62 / $1,354.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.79 / $1,505.37 / $2,258.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.05 / $1,125.30 / $1,618.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.04 / $769.04 / $1,194.55