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Idaho rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.15 / $771.44 / $843.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.05 / $663.31 / $663.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.22 / $663.31 / $707.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.96 / $688.99 / $917.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.94 / $871.82 / $917.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $677.27 / $806.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.58 / $896.20 / $1,344.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.40 / $669.93 / $963.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.83 / $379.44 / $601.79