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Idaho rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.23 / $613.99 / $751.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $456.40 / $566.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $456.40 / $470.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.24 / $514.50 / $730.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.37 / $693.89 / $730.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $539.04 / $641.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.57 / $713.29 / $1,069.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.29 / $511.29 / $766.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.91 / $364.39 / $566.01