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Idaho rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.15 / $721.69 / $721.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.45 / $555.76 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $555.76 / $592.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.98 / $644.54 / $858.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.68 / $815.60 / $858.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $633.59 / $754.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.76 / $838.41 / $1,257.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.97 / $626.73 / $901.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.20 / $348.49 / $573.65