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Idaho rates for HCPCS L5712

Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.28 / $557.91 / $573.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.44 / $364.44 / $432.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.04 / $364.44 / $388.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.57 / $480.57 / $663.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.33 / $630.52 / $663.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $489.81 / $583.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.16 / $648.14 / $972.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.59 / $464.59 / $696.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.55 / $258.02 / $443.47