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Idaho rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $302.00 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $478.63 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $338.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $426.58 / $602.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $436.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $489.78 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $562.34
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $331.13 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $251.19 / $380.19