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Idaho rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,477.90 / $3,684.02 / $3,684.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,748.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $2,400.00 / $2,814.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.63 / $3,087.10 / $4,382.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,944.30 / $4,163.43 / $4,382.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,234.32 / $3,851.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,837.52 / $4,279.84 / $6,419.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,067.79 / $3,067.79 / $4,601.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.13 / $1,639.81 / $2,928.30