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Idaho rates for HCPCS L5726

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.92 / $1,961.14 / $1,969.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,484.73 / $1,606.19 / $1,606.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $1,654.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.46 / $1,751.50 / $2,333.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,099.69 / $2,216.35 / $2,333.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,721.75 / $2,050.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.85 / $2,278.32 / $3,417.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.10 / $1,633.10 / $2,449.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.07 / $1,041.63 / $1,649.25