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Idaho rates for HCPCS L5649

Addition To Lower Extremity Ischial Containment/Narrow M-L Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.13 / $2,030.53 / $2,030.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.63 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,800.00 / $2,110.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $1,813.48 / $2,415.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.00 / $2,294.77 / $2,415.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,782.68 / $2,123.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,115.14 / $2,358.94 / $3,538.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.89 / $1,763.35 / $2,536.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.07 / $1,140.05 / $1,756.79