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Idaho rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.45 / $1,274.96 / $1,492.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $1,125.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $870.50 / $896.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.41 / $1,138.67 / $1,516.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.03 / $1,440.87 / $1,516.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,119.32 / $1,333.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.08 / $1,481.15 / $2,221.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.69 / $1,107.19 / $1,592.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.72 / $671.35 / $1,064.76