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Idaho rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.75 / $636.83 / $752.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $567.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $472.30 / $503.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.52 / $577.48 / $834.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.82 / $719.70 / $757.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $559.09 / $665.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.36 / $739.82 / $1,109.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.30 / $553.03 / $795.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.97 / $338.50 / $536.85