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Idaho rates for HCPCS L5968

Addition To Lower Limb Prosthesis Multiaxial Ankle With Swing Phase Active Dorsiflexion Feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,604.16 / $3,599.30 / $3,599.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $2,685.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,448.80 / $2,871.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.19 / $3,016.10 / $4,281.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,853.59 / $4,067.68 / $4,281.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,159.94 / $3,763.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,749.27 / $4,181.42 / $6,272.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,997.24 / $3,104.51 / $4,495.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.67 / $1,955.12 / $3,100.81