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Idaho rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.45 / $805.02 / $901.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.92 / $694.09 / $694.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $694.09 / $813.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.44 / $755.67 / $1,084.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.89 / $909.78 / $957.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $706.74 / $841.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.56 / $935.22 / $1,402.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.36 / $699.09 / $1,005.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.74 / $477.77 / $742.12