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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
$371.54 / $457.09 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $851.14 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $489.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $630.96 / $1,698.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $776.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $660.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $741.31 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $851.14
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $501.19 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $371.54 / $575.44