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Idaho rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.26 / $629.23 / $629.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $401.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $447.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.91 / $555.41 / $748.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.68 / $711.10 / $748.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $552.41 / $657.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.45 / $730.99 / $1,096.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.97 / $546.42 / $785.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.70 / $300.36 / $500.15