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Idaho rates for HCPCS L5651

Addition To Lower Extremity Above Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.65 / $1,211.64 / $1,211.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.06 / $1,200.11 / $1,200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $1,200.11 / $1,407.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.23 / $1,015.33 / $1,441.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.25 / $1,369.32 / $1,441.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,063.74 / $1,266.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.13 / $1,407.61 / $2,111.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.97 / $1,052.21 / $1,513.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.86 / $719.09 / $1,116.97