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Idaho rates for HCPCS L5540

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Laminated Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.12 / $2,232.32 / $2,407.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,815.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $1,705.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.67 / $1,995.69 / $2,655.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.03 / $2,522.81 / $2,655.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,959.82 / $2,334.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,325.33 / $2,593.35 / $3,890.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.91 / $1,858.91 / $2,788.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.05 / $1,083.78 / $1,774.39