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Idaho rates for HCPCS L5530

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.95 / $2,024.76 / $2,299.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.39 / $1,295.39 / $1,733.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $1,295.39 / $1,380.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.69 / $1,810.13 / $2,408.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,167.81 / $2,288.25 / $2,408.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,777.60 / $2,117.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,109.13 / $2,352.23 / $3,528.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.08 / $1,686.08 / $2,529.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.25 / $1,034.25 / $1,640.31