go back

Idaho rates for HCPCS L5978

All Lower Extremi Prostheses, Foot, Multiaxial Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.84 / $356.98 / $388.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $243.19 / $292.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $243.19 / $259.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.81 / $318.82 / $424.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.19 / $403.43 / $424.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $313.39 / $373.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.85 / $414.71 / $622.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.26 / $297.26 / $445.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.57 / $174.74 / $329.08