go back

Idaho rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,391.16 / $3,304.91 / $3,304.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $2,465.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $2,160.07 / $2,533.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.38 / $2,769.40 / $3,931.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,538.41 / $3,734.99 / $3,931.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,901.49 / $3,455.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,442.61 / $3,839.42 / $5,759.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,752.10 / $2,752.10 / $4,128.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.54 / $1,724.61 / $2,730.63