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Idaho rates for HCPCS L5824

Addition Endoskeletal Knee-Shin System Single Axis Fluid Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.47 / $1,547.26 / $2,041.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.48 / $1,408.48 / $1,539.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.19 / $1,408.48 / $1,450.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.83 / $1,381.88 / $1,840.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.58 / $1,748.61 / $1,840.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,358.39 / $1,617.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,611.73 / $1,797.50 / $2,696.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.45 / $1,343.67 / $1,932.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.02 / $918.28 / $2,304.98