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Idaho rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $47.73 / $52.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $39.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $29.77 / $31.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.35 / $42.92 / $62.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.11 / $53.95 / $56.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $41.91 / $49.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.72 / $55.46 / $83.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.75 / $41.46 / $59.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $23.77 / $37.95