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Idaho rates for HCPCS L5910

Addition Endoskeletal System Below Knee Alignable System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.38 / $365.41 / $365.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.64 / $281.20 / $281.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $281.20 / $299.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $306.20 / $434.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.23 / $412.97 / $434.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $320.80 / $382.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.64 / $424.51 / $636.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.29 / $317.33 / $456.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.51 / $216.86 / $336.86