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Idaho rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,203.13 / $23,777.08 / $23,777.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $17,741.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $11,826.18 / $18,997.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,350.18 / $19,924.46 / $28,285.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,456.97 / $26,871.24 / $28,285.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,767.79 / $27,622.58 / $41,433.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,799.86 / $20,494.12 / $29,699.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,958.85 / $12,934.33 / $20,513.75