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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
$363.08 / $524.81 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $426.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $691.83 / $891.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $741.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $851.14 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $977.24
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $457.09 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $338.84 / $524.81