go back

Idaho rates for HCPCS L5988

Addition To Lower Limb Prosthesis Vertical Shock Reducing Pylon Feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.60 / $1,978.68 / $1,978.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,476.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $1,435.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.87 / $1,658.07 / $2,353.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,118.46 / $2,236.17 / $2,353.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,737.14 / $2,068.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.12 / $2,298.69 / $3,448.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.70 / $1,706.61 / $2,471.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.74 / $1,074.80 / $1,704.63