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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
$2,959.35 / $4,090.23 / $4,213.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $3,177.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,780.72 / $2,964.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.28 / $3,839.50 / $5,065.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,379.21 / $4,622.50 / $4,865.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,590.95 / $4,276.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,260.66 / $4,751.75 / $7,127.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,406.05 / $3,552.03 / $5,109.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.69 / $2,220.13 / $3,521.11