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Idaho rates for HCPCS L5960

Addition Endoskeletal System Hip Disarticulation Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.93 / $1,033.74 / $1,033.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.74 / $930.44 / $930.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $930.44 / $991.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.67 / $866.24 / $1,229.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.77 / $1,168.25 / $1,229.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $907.55 / $1,080.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.81 / $1,200.92 / $1,801.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.82 / $860.82 / $1,291.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.72 / $577.25 / $915.52