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Idaho rates for HCPCS L5920

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.32 / $535.33 / $535.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $399.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $424.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.11 / $448.60 / $636.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.16 / $605.00 / $636.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $469.99 / $559.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.64 / $621.91 / $932.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.79 / $464.89 / $668.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.75 / $317.70 / $493.50