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Idaho rates for HCPCS L5590

Preparatory Above Knee - Knee Disarticulation Ischial Level 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
$1,844.75 / $2,549.69 / $3,200.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,289.62 / $2,289.62 / $2,412.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.42 / $1,671.42 / $3,869.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.28 / $2,393.42 / $3,646.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,729.84 / $2,881.50 / $3,033.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,238.46 / $2,665.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,655.94 / $2,962.07 / $4,443.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,123.21 / $2,214.21 / $3,184.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.88 / $1,439.45 / $2,350.46