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Idaho rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.89 / $1,780.04 / $1,978.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,491.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $1,307.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.83 / $1,670.93 / $2,378.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.80 / $2,011.68 / $2,117.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,562.75 / $1,861.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,854.21 / $2,067.92 / $3,101.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.29 / $1,545.82 / $2,223.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.99 / $964.75 / $1,530.09