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Idaho rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.60 / $664.25 / $664.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.63 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $589.44 / $628.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.51 / $556.62 / $790.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.19 / $750.70 / $790.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $583.17 / $694.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.93 / $771.69 / $1,157.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.15 / $576.85 / $829.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.49 / $394.23 / $612.35