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Idaho rates for HCPCS L5962

Addition Endoskeletal System Below Knee Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.10 / $790.72 / $790.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $589.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $448.56 / $478.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.22 / $662.60 / $940.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.59 / $893.62 / $940.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $694.20 / $826.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.67 / $918.60 / $1,377.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.46 / $658.46 / $987.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.42 / $351.96 / $558.21