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Idaho rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.11 / $298.69 / $298.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $177.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $166.52 / $177.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.83 / $250.30 / $355.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.80 / $337.56 / $355.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $262.23 / $312.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.14 / $347.01 / $520.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.73 / $248.73 / $373.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.93 / $132.94 / $210.87