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Idaho rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $660.69 / $870.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $676.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $776.25 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $891.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $467.74 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $354.81 / $537.03