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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
$305.33 / $422.01 / $498.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $375.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $340.42 / $350.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.69 / $396.14 / $599.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.83 / $476.93 / $502.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $370.50 / $441.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.59 / $490.26 / $735.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.42 / $366.48 / $527.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.57 / $250.45 / $389.04