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Idaho rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Facilitymedian $355 · 10th–90th $214–$5130%20%10th90th$355Professionalmedian $288 · 10th–90th $178–$4270%10%20%10th90th$288$50.0$100.0$200.0$500.0$1.0K

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
$165.96 / $263.03 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $363.08 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $245.47 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $245.47
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $323.59 / $512.86
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $346.74 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $331.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $371.54 / $371.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $407.38
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $389.05 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $288.40 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $190.55 / $295.12