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Idaho rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.22 / $459.17 / $459.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.60 / $362.03 / $362.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $362.03 / $385.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.02 / $384.77 / $546.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.61 / $518.91 / $546.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $403.12 / $480.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.30 / $533.42 / $800.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.36 / $396.05 / $573.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.62 / $249.43 / $394.92