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Idaho rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.56 / $325.57 / $325.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.28 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $297.81 / $306.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.27 / $305.61 / $387.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.58 / $367.94 / $387.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $285.83 / $340.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.14 / $378.23 / $567.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.12 / $282.74 / $406.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.08 / $178.55 / $282.70