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Idaho rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.74 / $1,475.77 / $1,475.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $1,101.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $895.00 / $921.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.31 / $1,236.65 / $1,755.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.04 / $1,667.82 / $1,755.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,295.63 / $1,543.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.26 / $1,714.45 / $2,571.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.92 / $1,228.92 / $1,843.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.68 / $714.57 / $1,173.04