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Idaho rates for HCPCS L5670

Addition To Lower Extremity Below Knee Molded Supracondylar Suspension (Pts Or Similar)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.21 / $298.83 / $361.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $272.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $216.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.90 / $266.88 / $355.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.95 / $337.73 / $355.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $262.35 / $312.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.29 / $347.17 / $520.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.85 / $259.52 / $373.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $162.47 / $257.26