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Idaho rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Facilitymedian $447 · 10th–90th $282–$5890%20%10th90th$447Professionalmedian $339 · 10th–90th $195–$5250%10%10th90th$339$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $457.09 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $295.12
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $398.11 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $457.09 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $407.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $457.09 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $501.19
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $316.23 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $208.93 / $323.59