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Idaho rates for HCPCS L5724

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.45 / $1,620.48 / $1,925.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.13 / $1,349.13 / $1,451.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.86 / $984.86 / $1,988.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $1,448.70 / $1,927.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.98 / $1,831.36 / $1,927.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,422.68 / $1,694.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.00 / $1,882.57 / $2,823.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.43 / $1,349.43 / $2,024.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.65 / $903.82 / $1,433.45