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Idaho rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,946.34 / $4,072.24 / $4,072.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.47 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,364.97 / $3,587.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.23 / $3,412.41 / $4,844.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,359.96 / $4,602.18 / $4,844.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,575.16 / $4,257.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.92 / $4,730.85 / $7,096.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,391.08 / $3,391.08 / $5,086.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.47 / $2,029.53 / $3,236.89