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Idaho rates for HCPCS L5961

Addition Endoskeletal System Polycentric Hip Joint Pneumatic Or Hydraulic Control With Or Without Flexion And/Or Extension Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,541.48 / $4,894.81 / $5,122.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,728.42 / $3,840.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,762.02 / $4,894.81 / $6,154.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,240.63 / $5,531.77 / $5,822.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $4,297.31 / $5,117.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,098.76 / $5,686.45 / $8,529.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,076.04 / $4,250.72 / $6,114.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.23 / $2,562.50 / $4,371.59