go back

Idaho rates for HCPCS L5634

Addition To Lower Extremity Symes Type Posterior Opening (Canadian) Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.45 / $355.83 / $404.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $305.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $274.64 / $292.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.59 / $317.81 / $423.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.98 / $402.14 / $423.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $312.40 / $372.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.66 / $413.39 / $620.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.32 / $309.02 / $444.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.41 / $182.14 / $288.88