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Idaho rates for HCPCS L5585

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Prefabricated Adjustable Open End Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.19 / $2,912.45 / $2,912.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,085.60 / $2,571.77 / $2,571.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $2,571.77 / $2,648.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.06 / $2,601.11 / $3,464.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,118.21 / $3,291.45 / $3,464.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,556.93 / $3,045.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,033.80 / $3,383.48 / $5,075.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,425.28 / $2,431.65 / $3,637.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.49 / $1,532.03 / $2,429.80