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Idaho rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.83 / $357.73 / $357.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $240.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $228.28 / $243.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.66 / $318.39 / $425.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.00 / $404.28 / $425.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $314.06 / $374.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.64 / $415.59 / $623.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.89 / $310.66 / $446.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.51 / $182.26 / $329.77