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Idaho rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.72 / $728.86 / $758.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $571.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $455.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.22 / $635.34 / $867.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.35 / $823.71 / $867.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $639.88 / $762.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.23 / $846.74 / $1,270.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.94 / $606.94 / $910.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.39 / $341.11 / $541.00