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Idaho rates for HCPCS L5706

Custom shaped protective cover, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,148.15 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $954.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,000.00 / $1,348.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $1,023.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,174.90 / $1,174.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,348.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $724.44 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $549.54 / $831.76