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Idaho rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $407.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $588.84 / $870.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $676.08 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $602.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $691.83 / $691.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $602.56 / $794.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $436.52 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $331.13 / $501.19