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Idaho rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.43 / $1,370.29 / $1,409.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,062.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $2,247.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.02 / $1,286.29 / $1,693.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.11 / $1,548.61 / $1,630.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,203.03 / $1,432.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.39 / $1,591.91 / $2,387.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.08 / $1,189.99 / $1,711.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.91 / $813.25 / $1,263.22