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Idaho rates for HCPCS L5711

Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.64 / $621.47 / $695.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.67 / $468.67 / $524.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.13 / $342.13 / $482.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.85 / $555.04 / $739.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.38 / $702.34 / $739.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $545.61 / $649.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.36 / $721.98 / $1,082.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.52 / $517.52 / $776.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.20 / $383.20 / $383.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.08 / $312.66 / $495.05