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Idaho rates for HCPCS L5780

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic/Hydra Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.76 / $1,155.14 / $1,524.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $1,149.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $1,036.33 / $1,067.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.58 / $1,032.69 / $1,379.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.75 / $1,305.46 / $1,374.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,014.13 / $1,207.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.27 / $1,341.96 / $2,012.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.92 / $965.63 / $1,442.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.85 / $685.56 / $1,064.86