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Idaho rates for HCPCS L5671

Addition To Lower Extremity Below Knee / Above Knee Suspension Locking Mechanism (Shuttle Lanyard Or Equal) Excludes Socket Insert

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $669.15 / $669.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $499.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $405.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.28 / $560.72 / $796.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.43 / $756.23 / $796.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $587.47 / $699.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.03 / $777.37 / $1,166.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.22 / $557.22 / $835.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.38 / $297.85 / $472.38