go back

Idaho rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.35 / $3,041.18 / $3,041.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $2,269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $1,824.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.05 / $2,548.42 / $3,617.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,256.05 / $3,436.94 / $3,617.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,669.96 / $3,179.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,167.90 / $3,533.04 / $5,299.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,532.48 / $2,532.48 / $3,798.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.25 / $1,366.29 / $2,417.33