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Idaho rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $977.24 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $660.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $851.14 / $1,230.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $891.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,000.00 / $1,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,148.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $676.08 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $512.86 / $776.25