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Idaho rates for HCPCS L5668

Addition To Lower Extremity Below Knee Molded Distal Cushion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $113.20 / $134.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $101.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $89.19 / $95.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.04 / $101.20 / $134.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.20 / $127.94 / $134.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $99.38 / $118.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.92 / $131.51 / $197.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.27 / $94.27 / $141.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.91 / $60.47 / $95.90