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Idaho rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.47 / $317.16 / $317.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.82 / $197.02 / $197.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $202.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.50 / $282.13 / $377.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.56 / $358.43 / $377.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $278.43 / $331.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.37 / $368.45 / $552.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.10 / $275.42 / $396.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.07 / $152.57 / $252.09