go back

Idaho rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.54 / $64.31 / $64.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $46.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $44.94 / $47.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.75 / $57.44 / $76.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.86 / $72.68 / $76.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $56.46 / $67.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.00 / $74.72 / $112.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.56 / $53.56 / $80.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.28 / $30.59 / $51.12