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Idaho rates for HCPCS L5716

Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.04 / $735.34 / $970.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.11 / $673.11 / $731.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.37 / $673.11 / $693.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.75 / $656.75 / $874.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.30 / $831.04 / $874.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $645.58 / $768.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.98 / $854.28 / $1,281.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.35 / $638.59 / $918.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.51 / $436.42 / $677.89