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Idaho rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.17 / $395.52 / $469.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $353.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $293.77 / $313.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.24 / $365.61 / $528.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.46 / $446.98 / $470.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $347.23 / $413.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.00 / $459.48 / $689.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.36 / $343.47 / $494.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.11 / $211.03 / $334.69