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Idaho rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.78 / $3,213.17 / $3,213.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,307.92 / $2,677.88 / $2,677.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $2,677.88 / $2,854.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.50 / $2,869.70 / $3,822.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,440.18 / $3,631.30 / $3,822.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,820.94 / $3,359.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,347.05 / $3,732.83 / $5,599.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.69 / $2,675.69 / $4,013.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.21 / $1,690.72 / $2,676.98