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Idaho rates for HCPCS L5665

Addition To Lower Extremity Socket Insert Multi-Durometer Below Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.77 / $516.60 / $681.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $513.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $482.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.93 / $432.89 / $614.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.10 / $583.82 / $614.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $453.54 / $540.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.12 / $600.15 / $900.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.19 / $430.19 / $645.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.47 / $306.58 / $476.23