go back

Idaho rates for HCPCS L5790

Addition Exoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.52 / $753.98 / $883.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $665.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $620.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.95 / $674.06 / $896.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.26 / $852.10 / $896.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $661.95 / $788.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.40 / $875.93 / $1,313.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.87 / $627.87 / $941.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.07 / $430.54 / $695.07