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Idaho rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $12,589.25 / $17,782.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $19,498.45 / $30,199.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,877.62 / $23,442.29 / $23,442.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $12,882.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $18,197.01 / $25,118.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,378.01 / $19,952.62 / $20,892.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $20,417.38 / $20,417.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,791.08 / $15,135.61 / $23,442.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,595.87 / $20,892.96 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $14,125.38 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $9,332.54 / $14,454.40