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Idaho rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,995.26 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,344.23 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,202.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,041.74 / $2,238.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,041.74 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $1,819.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,041.74 / $2,041.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,548.82 / $2,344.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,137.96 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $954.99 / $1,479.11