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Idaho rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $50.12 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $81.28 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $93.33 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $45.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $69.18 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $81.28 / $85.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $72.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $81.28 / $81.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $93.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $85.11 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $54.95 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $36.31 / $56.23