go back

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
$524.81 / $758.58 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $933.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $933.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,023.29 / $1,584.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $1,071.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,202.26 / $1,202.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,380.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $758.58 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $575.44 / $891.25