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Idaho rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Facilitymedian $4,898 · 10th–90th $3,020–$6,7610%20%10th90th$4,898Professionalmedian $3,890 · 10th–90th $2,239–$6,0260%10%10th90th$3,890$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,311.31 / $4,677.35
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,128.61 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $3,548.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $4,570.88 / $5,888.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,248.07 / $5,495.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $4,677.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,248.07 / $5,248.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $5,754.40
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,495.41 / $5,495.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,630.78 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,398.83 / $3,715.35