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Idaho rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.38 / $129.06 / $129.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.30 / $99.32 / $99.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $99.32 / $105.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.45 / $108.15 / $153.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.19 / $145.86 / $153.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $113.31 / $134.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.44 / $149.94 / $224.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.48 / $112.08 / $161.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.81 / $76.59 / $118.98