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Idaho rates for HCPCS L5630

Addition To Lower Extremity Symes Type Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.70 / $510.98 / $550.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $393.88 / $414.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $617.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.49 / $456.81 / $607.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.08 / $577.48 / $607.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $448.60 / $534.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.27 / $593.62 / $890.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.51 / $425.51 / $638.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.47 / $268.73 / $471.04