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Idaho rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.54 / $637.91 / $832.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $485.57 / $627.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $485.57 / $517.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.75 / $570.29 / $758.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.98 / $720.93 / $758.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $560.04 / $666.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.49 / $741.08 / $1,111.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.21 / $531.21 / $796.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.23 / $374.47 / $588.07