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Idaho rates for HCPCS L5570

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.64 / $2,293.85 / $2,573.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.38 / $1,769.38 / $1,940.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.65 / $1,769.38 / $1,822.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.11 / $2,134.19 / $3,084.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,455.92 / $2,592.36 / $2,728.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,013.85 / $2,398.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,389.42 / $2,664.84 / $3,997.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.16 / $1,992.02 / $2,865.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.68 / $1,209.93 / $1,918.95