go back

Idaho rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $371.54 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $588.84 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $691.83 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $512.86 / $724.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $588.84 / $630.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $537.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $602.56 / $602.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $691.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $457.09 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $309.03 / $467.74