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Idaho rates for HCPCS L5985

All Endoskeletal Lower Extremity Protheses Dynamic Prosthetic Pylon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.37 / $279.70 / $279.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.69 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $227.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.71 / $234.39 / $332.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.47 / $316.10 / $332.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $245.56 / $292.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.36 / $324.94 / $487.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.92 / $240.46 / $349.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.37 / $152.90 / $257.85