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Idaho rates for HCPCS L5848

Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.60 / $1,065.08 / $1,065.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.63 / $724.63 / $794.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.98 / $724.63 / $772.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.50 / $892.50 / $1,267.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.33 / $1,203.69 / $1,267.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $935.07 / $1,113.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.46 / $1,237.33 / $1,856.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.93 / $918.64 / $1,330.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.91 / $578.54 / $917.56