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Idaho rates for HCPCS L5990

Addition To Lower Extremity Prosthesis User Adjustable Heel Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.11 / $1,796.94 / $1,796.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,340.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $2,324.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.14 / $1,505.77 / $2,137.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.89 / $2,030.78 / $2,137.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,577.58 / $1,878.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,871.81 / $2,087.56 / $3,131.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.36 / $1,549.89 / $2,244.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.47 / $976.08 / $1,548.06