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Idaho rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $616.60 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,122.02 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $575.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $776.25 / $1,047.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $870.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $977.24 / $977.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,122.02
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $501.19 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $380.19 / $588.84