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Idaho rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,951.21 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,677.35 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,754.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $4,073.80 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,677.35 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $4,168.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,786.30 / $4,786.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,265.80 / $5,495.41
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,011.87 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,951.21 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,238.72 / $3,388.44