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Idaho rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,412.10 / $3,333.85 / $3,333.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $2,487.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $4,299.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.59 / $2,793.65 / $3,965.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,569.39 / $3,767.69 / $3,965.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,926.89 / $3,485.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,472.76 / $3,873.04 / $5,809.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,776.19 / $2,866.58 / $4,164.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.08 / $1,822.54 / $2,885.68