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Idaho rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.86 / $64.75 / $64.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $48.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $37.36 / $39.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.60 / $54.25 / $77.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.33 / $73.18 / $77.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $56.85 / $67.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.45 / $75.22 / $112.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.92 / $53.92 / $80.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.65 / $28.82 / $51.46