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Idaho rates for HCPCS L5925

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.37 / $440.04 / $440.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $328.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $278.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.88 / $368.73 / $523.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.12 / $497.30 / $523.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $386.31 / $460.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.37 / $511.20 / $766.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.43 / $376.40 / $549.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.02 / $201.20 / $349.76