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Idaho rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,878.52 / $5,360.65 / $5,783.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $4,360.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $6,578.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.50 / $4,792.42 / $6,377.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,739.39 / $6,058.25 / $6,377.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $4,706.29 / $5,604.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,584.01 / $6,227.64 / $9,341.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,463.97 / $4,463.97 / $6,695.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,405.32 / $2,601.52 / $4,125.99