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Idaho rates for HCPCS L5705

Custom Shaped Protective Cover Above Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.80 / $1,010.06 / $1,010.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.64 / $895.43 / $895.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $895.43 / $954.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $846.40 / $1,201.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.43 / $1,141.51 / $1,201.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $886.77 / $1,056.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.15 / $1,173.43 / $1,760.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.11 / $844.75 / $1,261.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.28 / $556.23 / $882.18